Periorbital hyperpigmentation: A study of its prevalence, common causative factors and its association with personal habits and other disorders

Sheth, Pratik B; Shah, Hiral; Dave, Jayendra N

doi:10.4103/0019-5154.127675

Cited by 69 publications

(95 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…6 In the present study, 25% patients reported lack of adequate sleep (sleep of <6 hours duration) with a odds of 0.905 and almost similar type of results was also quoted by Ranu et al 14 Rubbing the eyes regularly had shown a strong significant association of POM in our study but the study done by Seth did not show association between rubbing of eyes and POM, so further scientific studies had to be conducted to substantiate this finding. 15 In our study usage of spectacles by patients mainly due to myopia had shown a strong significant association with POM and this is well supported by the theory quoted by Gathers in his study mentioning that exhaustion of periorbital muscles may play a significant role in causation of POH. 17 According to Gathers fatigue, stress, emotional liability and aging all may play a significant role in development of POH, whereas in our study work stress did not show a significant association (OR=0.78) with POM as most of our study subjects were from rural area and their major occupation was agriculturist.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

A clinico-epidemiological study of periorbital melanosis

2017

View full text Add to dashboard Cite

INTRODUCTIONFacial concerns have been the major reason for dermatological consultations in the last few years. 1 Besides the common alterations related to the intrinsic and extrinsic aging processes, there is one that affects individuals of any age, both sexes, and all races the so called dark circles, periorbital darkening or periorbital melanosis (POM).2,3 Studies had shown that many factors had contributed to this condition like melanin deposition, increased vascularity, chronic inflammation, skin redundancy and genetic causes. [4][5][6] Recently, Huang et al classified POM as pigmented, vascular, structural and mixed POM clinically. 7Pigmented type (P) appears as infraorbital brown hue, vascular (V) type appears as infraorbital blue, pink, or ABSTRACT Background: Besides the common alterations related to the intrinsic and extrinsic aging processes, there is one that affects individuals of any age, both sexes, and all races the so called dark circles, periorbital darkening or periorbital melanosis. There is scarcity of data regarding the incidence and prevalence of periorbital melanosis due to its transitory nature and lack of reasonable etiological explanation. Aim: To assess the prevalence of periorbital melanosis and to study the epidemiological factors responsible for the occurrence of periorbital melanosis. Methods: A single centred, cross-sectional, descriptive study was conducted in patients attending the skin OPD of our teaching hospital from Jan 2016 -Dec 2016. A total of 250 patients were included in our study. Patients with hyperpigmentation around the orbital area of all ages and both genders were included in the study. A careful physical examination to detect involvement of upper or lower or both eyelids and extension beyond the periorbital region, colour of hyperpigmented areas (light brown/dark brown/red/blue), presence of any dermatological disease or scar in periorbital region were assessed. A detailed history was taken including duration of the condition, family history, history of atopy or drug intake, associated faulty habit or lifestyle. Results: Based on the type of POM, vascular POM (44%) was found to be the most common type among our patients followed by constitutional (33.2%), post-inflammatory (13.6%) and shadow type (9.2%). Among the various factors for POM watching TV for more than 8 hours/day, usage of spectacles, sleeping habit of less than 6 hours/day, habit of regularly rubbing the eye, family history of POM, associated systemic disease like anaemia and irregular menstruation and associated skin lesion like atopic dermatitis had shown a strong association (odds ratio >0.8) in the development of POM. Conclusions: It is very much essential to classify and grade the peri-orbital melanosis and to determine the causative factors which would help us to intervene earlier and that would result in a better prognosis.

show abstract

Section: Discussionsupporting

confidence: 87%

“…In anrecent Indian study, it was found that POH was most prevalent in the age group of 16 to 25 years and it is more common among females. 15 So, the present study was done to assess the prevalence and the factors influencing periorbital melanosis.…”

Section: Introductionmentioning

confidence: 99%

A clinico-epidemiological study of periorbital melanosis

2017

View full text Add to dashboard Cite

show abstract

“…Assessment of the grade of PODC was conducted in comparison to the surrounding skin, which is as follows [10] :…”

Section: Methodsmentioning

confidence: 99%

Treatment of Periorbital dark circles: Comparative study of chemical peeling with a combination of trichloroacetic acid and lactic acid versus carboxytherapy

Hassan¹,

Aldalies²,

Maghraby³

2016

J Surg Dermatol

View full text Add to dashboard Cite

Periorbital dark circles (PODC) are a common worldwide cosmetic problem. It is difficult to treat due to complications in its pathogenesis and aetiology. Available lines of treatment for PODC include whitening creams, topical retinoid acid, chemical peeling, laser therapy, carboxytherapy, autologous fat transplantation, injectable fillers and surgery (blepharoplasty).The aim of this study isto evaluate and compare the efficacy of chemical peels using trichloroacetic acid (3.75%) and lactic acid (15%) in a gel formula with that of carboxytherapy, in the treatment of periorbital hyperpigmentation.Two groups of patients with PODC were included in the study, named Group A and B in which each group consisted of 15 patients. Group A was assigned for patients who received treatment with chemical peeling with a combination of trichloroacetic acid (3.75%) and lactic acid (15%) in a gel formula, once a week for four weeks. Group B was assigned for patients who received carboxytherapy that was performed by subcutaneous and intradermal injection of CO 2 once a week for four weeks. All patients were assessed by digital photographs, before and after treatment, by observing the improvement in the grade of PODC. Reports of patient satisfaction and global tolerance were evaluated by three medical observers. There was a significant improvement in the grade of PODC in both groups. The degree of improvement of PODC in group A was excellent, with good grade in 93.4% of the treated patients while fair grade in 6.6% of them. There was a statistically significant improvement in the pigmented type. The degree of improvement of PODC in group B was excellent, with good grade in 86.7% of the treated patients while fair grade in 13.3% of them. However, no statistically significant difference between the two groups was observed. Minimal and transient side effects were noticed; however, it did not require further treatment. In conclusion, the two methods of treatment were effective in the treatment of PODC, with the improvement of PODC observed from the first treatment session with both chemical peeling and carboxytherapy.

show abstract

“…This is much less than the prevalence of periorbital melanosis reported by Sheth et al, which was 30%. 17 This variability may be explained on the selection criteria of the patients. The above authors actively searched for the disease in the patients while we included only those presenting with the complaint of periocular pigmentation.…”

Section: Discussionmentioning

confidence: 99%