Department of Ophthalmology, Goldschleger Eye Institute, Sheba Medical Center, Tel Aviv University, Ramat Gan, Israel.
Faculty of Medicine, Tel aviv University, Ramat Aviv, Israel.
Ophthalmic Plast Reconstr Surg. 2024;40(3):286-290. doi: 10.1097/IOP.0000000000002565. Epub 2023 Nov 16.
The authors' aim was to describe a rare mild complication of eyelid surgery presenting as transient hyperpigmentation along the suture lines.
A retrospective case series of 6 patients experiencing transient hyperpigmentation following eyelid surgery. Each patient underwent either blepharoplasty alone or blepharoplasty with ptosis repair utilizing Müller muscle conjunctival resection. Data including surgery type, hyperpigmentation laterality and location, time to diagnosis, follow-up time, and outcome were assessed.
All 6 patients with hyperpigmentation were females. All patients underwent blepharoplasty, including 1 upper eyelid blepharoplasty and 4 with both upper and lower eyelid blepharoplasty. One patient underwent bilateral upper blepharoplasty with concurrent posterior approach ptosis surgery repair of the left upper eyelid. Hyperpigmentation was bilateral in all 5 blepharoplasty cases and unilateral in the ptosis repair case. Hyperpigmentation included the medial portion of the operated upper eyelid in all cases. Time to diagnosis ranged from 1 to 4 weeks postoperatively, and follow-up time ranged from 3 to 5 months. Management was conservative in all cases. Five patients experienced complete resolution, and 1 patient experienced near-complete resolution on a 3-month follow-up.
Transient hyperpigmentation is a rare posteyelid surgery complication, generally with an excellent outcome not requiring additional intervention.
作者旨在描述一种罕见的轻度眼睑手术并发症，表现为缝线处短暂性色素沉着。
回顾性分析了 6 例接受眼睑手术后出现短暂性色素沉着的患者。每位患者均接受单纯眼睑成形术或伴有 Müller 肌结膜切除术的上睑下垂修复术。评估了手术类型、色素沉着的侧别和位置、诊断时间、随访时间和结果。
6 例色素沉着患者均为女性。所有患者均接受了眼睑成形术，其中 1 例为上眼睑成形术，4 例为上下眼睑成形术。1 例患者行双侧上眼睑成形术，同时行左眼睑后入路上睑下垂修复术。5 例眼睑成形术患者均为双侧色素沉着，1 例上睑下垂修复术患者为单侧色素沉着。所有病例的色素沉着均包括手术侧的上眼睑内侧部分。诊断时间为术后 1 至 4 周，随访时间为 3 至 5 个月。所有病例均采用保守治疗。5 例患者完全缓解，1 例患者在 3 个月随访时接近完全缓解。
暂时性色素沉着是一种罕见的眼睑手术后并发症，通常具有良好的预后，无需进一步干预。
