Postoperative seroma: A bizarre complication of external dacryocystorhinostomy procedure

Seroma is a collection of clear fluid in a body cavity, organ, or tissue that can occur after surgery or an injury. It is most commonly seen after abdominal, breast, and facial esthetic surgeries. A literature search shows one such case report in international journals and no such case reported in the Indian population relating to an oculoplastic procedure. A 55-year-old male patient with no systemic illness operated for RE external dacryocystorhinostomy which was uneventful presented on POD2 with a diffuse swelling along the right half of the face involving the periorbital region. Swelling was diffuse with pitting edema with associated J-shaped blackening of skin surrounding sutured wound of size approx. 6 cm × 2 cm. No bleeding, pus discharge, or telangiectasia was noted, with no discomfort to the patient. Clinically, postoperative seroma was diagnosed. Conservative management was advised including local massage with better outcome.