Pyogenic granuloma after cosmetic eye whitening

Area of Science:

• Ophthalmology
• Surgical Complications

Background:

• Cosmetic eye whitening procedures aim to improve ocular aesthetics.
• Potential long-term complications of such procedures are not well-documented.

Purpose of the Study:

• To report a case of delayed ocular complications following cosmetic eye whitening surgery.
• To highlight the association between cosmetic eye whitening and subsequent inflammatory and proliferative conditions.

Main Methods:

• A clinical case presentation of a 46-year-old male 5 years post-cosmetic eye whitening.
• Ocular examination revealed pyogenic granuloma, anterior uveitis, and necrotizing scleritis.
• Systemic work-up excluded underlying systemic diseases.

Main Results:

• Pyogenic granuloma in the right eye was treated with surgical resection.
• Acute nongranulomatous anterior uveitis and necrotizing scleritis in both eyes were managed with systemic corticosteroids and methotrexate.
• The patient's conditions showed successful treatment outcomes.

Conclusions:

• Cosmetic eye whitening surgery may result in delayed complications, including pyogenic granuloma, necrotizing scleritis, and anterior uveitis, presenting years after the procedure.
• Surgical resection is an effective treatment for pyogenic granuloma secondary to cosmetic eye whitening.
• Ophthalmologists should be aware of these potential long-term sequelae.