Hyperpigmentation periocular L81.4

Periocular, primarily cosmetically disturbing pigment proliferation of different etiology. Hyperpigmentation increases with age. It occurs more frequently in families.

A distinction is made between the following forms:

• Idiopathic hyperpigmentation without disease value, which is observed mainly in Afro-Americans, South and East Asians, North Africans.
• Hyperpigmentation in atopic diathesis (minor criterion). Grey-brown discolouration in the periocular region (haloed eyes).
• Genetically determined periocular pigment proliferation without concomitant disease (familial occurrence especially in persons with dark complexion).
• Chloasma hepaticum (masque biliare)
• hyperpigmentation as an indication of hyperthyroidism (see also Jellinek's sign)
• Drug-induced pericocular hyperpigmentation with the use of prostaglandin-containing eye drops (these may also be contained in cosmetic eyelash extensions). Differentially, the shading in blepharochalasis has to be considered.

1. Treatment of the underlying disease. Brightening preparations with hydroquinone (3% hydroquinone ointment), azelaic acid, kojic acid or arbutin.