Anatomy of a 'black eye': A newly described fascial system of the lower eyelid

Joel E. Pessa, Vikram P. Zadoo, Erle K. Adrian, Robert Woodwards, Jaime R Garza

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

The anatomy of a black eye is examined in a series of cadaver dissections in which a previously unreported fascial system of the lower eyelid is identified. This fascia originates at the orbital rim, and is in continuity with the orbital septum and with the periosteum of the orbital floor and anterior maxillary wall. This fascia contributes to the thickened area along the orbital rim called the arcus marginale. At the level of the orbicularis oculi muscle, this fascia was noted microscopically to fuse with a fibrous septa of the superficial cheek fat. This creates one long continuous membrane from the orbital rim above to the cheek skin below. Dye injection techniques show that this membrane is impermeable and traps injected dye in the same place where a black eye forms. After periorbital injury, extravasated hemoglobin pigment is confined to the area above the cutaneous insertion of this membrane. This fascial system has been named the septum malaris: malar describes its origin along the orbital rim of the cheek, and septum further describes the partitioning nature of this ultra- thin membrane.

Original languageEnglish (US)
Pages (from-to)157-161
Number of pages5
JournalClinical Anatomy
Volume11
Issue number3
DOIs
StatePublished - 1998
Externally publishedYes

Fingerprint

Eyelids
Cheek
Fascia
Anatomy
Membranes
Coloring Agents
Periosteum
Skin
Prefrontal Cortex
Cadaver
Dissection
Hemoglobins
Fats
Muscles
Injections
Wounds and Injuries

Keywords

  • Black eye
  • Malar septum
  • Peri orbital ecchymosis

ASJC Scopus subject areas

  • Anatomy

Cite this

Anatomy of a 'black eye' : A newly described fascial system of the lower eyelid. / Pessa, Joel E.; Zadoo, Vikram P.; Adrian, Erle K.; Woodwards, Robert; Garza, Jaime R.

In: Clinical Anatomy, Vol. 11, No. 3, 1998, p. 157-161.

Research output: Contribution to journalArticle

Pessa, Joel E. ; Zadoo, Vikram P. ; Adrian, Erle K. ; Woodwards, Robert ; Garza, Jaime R. / Anatomy of a 'black eye' : A newly described fascial system of the lower eyelid. In: Clinical Anatomy. 1998 ; Vol. 11, No. 3. pp. 157-161.
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