Xanthelasma

Xanthelasma

Xanthelasma (Xanthelasma palpebrarum)These are benign, yellowish fatty deposits that appear on the eyelids. They are usually seen in the inner corners of the eyelids, especially the upper and lower eyelids.

1. What causes it?

Disorders in cholesterol and fat metabolism

High cholesterol or triglycerides in the blood

Genetic predisposition

Some metabolic diseases

Important:About half of patients with xanthelasma may have normal blood lipid levels.

2. Clinical characteristics

Yellow or yellow-orange colored plates

Lesions that are soft in consistency and usually have a flat surface.

Mostly bilateral and symmetrical placement.

Pain and itching are usually absent.

It tends to grow slowly.

It most commonly occurs in middle and old age.

3. Diagnosis

Diagnosis is usually made through clinical examination.

Recommended laboratory tests:

Total cholesterol

LDL cholesterol

HDL cholesterol

Triglycerides

Fasting blood glucose and HbA1c if necessary.

4. Treatment options

Er:YAG laser Ablative laser therapy

Surgical excision, especially in limited and suitable lesions.

TCA (trichloroacetic acid) Chemical destruction

Electrocautery: Controlled tissue destruction.

Plasma therapy: Controlled thermal effect on the tissue surface.

5. Will it recur after treatment?

Yes. Recurrence of xanthelasma can occur after treatment.

Even if the lesion is completely cleared, it can reappear.

Controlling high lipid levels is important.

Post-treatment hyperpigmentation, hypopigmentation, and scarring may occur.

Treatment should be applied carefully, especially in sensitive areas such as the eyelids.