Xanthelasma are yellowish cholesterol-rich plaques that appear on or near the eyelids, most commonly close to the inner corners. They are benign but can be cosmetically concerning.
Causes
Some people with xanthelasma have underlying lipid abnormalities, while others have normal blood cholesterol. There is often a familial tendency.
- Lesions are usually soft, flat or slightly raised
- May gradually enlarge or multiply over time
- Do not affect vision directly
Management
Blood lipid testing is often recommended through the patient’s GP. When removal is desired, options include precise surgical excision or other specialist techniques; see the xanthelasma removal page and associated Blue Fin Vision® educational material.
Recurrence
Lesions can recur, especially if underlying lipid issues persist, so long-term cardiovascular risk management is important.
