Periorbital hyperpigmentation (POH), also known as periocular hyperpigmentation, periorbital melanosis, dark circles, infraorbital darkening, infraorbital discoloration, or idiopathic cutaneous hyperchromia of the orbital region, is a common condition encountered in dermatology practice. 1 - 4 It is an ill-defined entity that presents as bilateral round or semicircular homogenous brown or dark brown pigmented macules in the periocular region. 1, 2 It can affect an individual’s emotional well-being and influence quality of life.