By Gary M. White, MD
Hyperpigmentation of the skin about the eyes is a common finding with multiple causes.
In a study of over 200 patients with periorbital pigmentation (PP) [Indian J Dermatol 2014;59:151-7], the condition was most prevalent in young people 16-25 years (47.50%) and in females (81%). Presumptive causes include constitutional/inherited (51.50%)--see, for example Familial Periorbital Melanosis and postinflammatory (22.50%). Lower eyelids were involved in 72.50%. Wood's lamp examination showed POH to be dermal in 60.50%. Lack of adequate sleep (40%), frequent cosmetic use (36.50%), frequent eye rubbing (32.50%), and lack of correction for errors of refraction-like myopia (12%) may be related. There was also a strong association with atopy (33%).
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