<p>Lymphoedema-distichiasis is a rare autosomal-dominant condition characterised by a second row of eye lashes (distichiasis) and pubertal onset of lower limb lymphoedema. It was first described in 1964 by Falls and Kertesz, but it took almost 40 years for the gene that causes the condition to be located on chromosome 16 (Fang et al, 2000). The prevalence of lymphoedema-distichiasis syndrome is not known; however, one person in 6000 will develop primary lymphoedema (Dale, 1985).</p>