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Clinical analysis and classification of dark eye circle

Authors

  • Yau-Li Huang MD,

    1. Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan
    2. Department of Cosmetic Science, Chang Gung University of Science and Technology, Taoyuan, Taiwan
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  • Shyue-Luen Chang MD,

    1. Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan
    2. Department of Cosmetic Science, Chang Gung University of Science and Technology, Taoyuan, Taiwan
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  • Lih Ma MD,

    1. Department of Ophthalmology, Chang Gung Memorial Hospital, Taipei, Taiwan
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  • Mei-Ching Lee MD,

    1. Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan
    2. Department of Cosmetic Science, Chang Gung University of Science and Technology, Taoyuan, Taiwan
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  • Sindy Hu MD, MS

    Corresponding author
    1. Department of Dermatology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan
    2. Department of Cosmetic Science, Chang Gung University of Science and Technology, Taoyuan, Taiwan
    • Correspondence

      Dr Sindy Hu, md, ms

      Department of Dermatology Chang Gung Memorial Hospital

      199 Tung-Hwa North Road Taipei 105 Taiwan

      E-mail: Sindyhu@hotmail.com

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  • Disclosures: The authors have no conflicts of interest to disclose.

Abstract

Background

Dark eye circle (DEC) is a common problem that usually lacks detailed classification in the etiology and structural variations. A newly-developed DEC Assessment Score using Wood's lamp and ultrasonogram will provide a more precise evaluation of DEC for improving treatment results.

Materials and methods

Sixty-five cases, including eight males and 57 females with a mean age of 38.9 years, were enrolled. DEC were classified into pigmented (brown), vascular (blue to purple), structural, and mixed type by Wood's lamp and ultrasonogram. A scoring system with nine parameters, including brown hue, pigmented lesions, blue/pink/purple hue, periorbital puffiness, shadow hue, infraorbital palpebral bags, infraorbital grooves, blepharoptosis, and skin type, was used for clinical evaluation.

Results

Pigmented, vascular, structural, and mixed types of DEC represented 5%, 14%, 3%, and 78%, respectively. Thirty-three cases with periorbital puffiness were found to have higher “pre-septal thickness” than those of 20 controlled cases (= 0.032). Fourteen patients with infraorbital palpebral bags were proved to have protruded retroseptal fat pads by ultrasonography.

Conclusion

Pigmentation and vascular and structural components may play important roles in DEC. Detailed classification of DEC types will access physicians in the decision of appropriate therapeutic modalities.

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