Bilateral Periorbital Ecchymosis Following Ablative Laser Removal of Xanthelasma Palpebrarum.

Periocular ecchymosis is a rare finding with various, sometimes life-threatening pathologies. We report the case of a 48-year-old woman who presented with bilateral periocular ecchymosis after laser removal of xanthelasma palpebrarum. Her medical history was unremarkable. Amyloidosis could be excluded by histopathology. We suggest that periocular ecchymosis is a rare adverse event after minor (laser) surgery of the eyelids and discuss the possible pathogenesis and differential diagnoses.