title: Periocular abscesses following brow epilation.
abstract: OBJECTIVE
  The aim of this article was to report the clinical presentation, radiography, culture results, treatment modalities, and outcomes of periocular abscesses associated with brow epilation.
  
  
  METHODS
  This was a retrospective case series including 26 patients referred for periocular abscess following brow epilation.
  
  
  RESULTS
  Twenty-six female patients with a median age of 20.5 (range, 12-73) years were referred for oculoplastic evaluation of periocular abscesses related to recent brow epilation. All patients were treated with incision and drainage along with systemic antibiotics. Culture results revealed 16 cases of methicillin-resistant Staphylococcus aureus, 3 of methicillin-sensitive Staphylococcus aureus, and 7 cultures that showed no growth. All patients had resolution of their abscesses at 1-month follow-up visits without progression to orbital cellulitis.
  
  
  CONCLUSIONS
  Periocular abscess formation after brow epilation has been previously described in only a single case report in the literature. The authors believe this entity is underreported given their current report describing 26 such cases. Given the high prevalence of cosmetic brow epilation in females, the authors believe a careful history regarding brow epilation in any patient presenting with a periocular abscess or preseptal cellulitis is essential to explore the possible cause of their infection. The majority of patients in the current study's cohort had methicillin-resistant Staphylococcus aureus-related abscesses, and treatment with antibiotics with methicillin-resistant Staphylococcus aureus coverage may be a prudent first line choice in such patients.
authors.affiliation: Department of Ophthalmology, SUNY Downstate Medical Center, Brooklyn, New York 11203, USA.
authors.forename: Solly
authors.initials: S
authors.lastname: Elmann
authors.forename: Renelle
authors.initials: R
authors.lastname: Pointdujour
authors.forename: Sean
authors.initials: S
authors.lastname: Blaydon
authors.forename: Tanuj
authors.initials: T
authors.lastname: Nakra
authors.forename: Michael
authors.initials: M
authors.lastname: Connor
authors.forename: Chirantan
authors.initials: C
authors.lastname: Mukhopadhyay
authors.forename: Flora
authors.initials: F
authors.lastname: Levin
authors.forename: Robert
authors.initials: R
authors.lastname: Schwarcz
authors.forename: Todd
authors.initials: T
authors.lastname: Shepler
authors.forename: John W
authors.initials: JW
authors.lastname: Shore
authors.forename: Edward J
authors.initials: EJ
authors.lastname: Wladis
authors.forename: Roman
authors.initials: R
authors.lastname: Shinder
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002648:Child; D003131:Combined Modality Therapy; D004322:Drainage; D015818:Eye Infections, Bacterial / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D005138:Eyebrows; D005260:Female; D006204:Hair Removal / Q000009:adverse effects*; D006801:Humans; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology* / Q000628:therapy; D014057:Tomography, X-Ray Computed; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents