Xanthomas

I.          Definition:
 
Xanthomas occur on the eye lids, usually on both sides.  They are yellow, soft, and slightly raised bumps. Xanthomas are fairly common on the eyelids. 
 
 
II.          Causes:
 

• The cause of xanthomas on the eyelids is not known.  Xanthomas are not contagious nor are they harmful.

 
 
III.          Treatment:
 

• A skin biopsy is not needed for the diagnosis of xanthomas.  The doctor can diagnose eyelid xanthomas by visual inspection.

 

• Plasma lipid studies should be checked if you have xanthomas, as 33% of the men and 40% of women with xanthomas on the eyelids have elevated cholesterol levels.

 

• Treatment of xanthomas is not necessary.  They are usually only treated for cosmetic reasons.

 

• Small lesions are best excised; the resulting scars are minimal.

 

• Lesions can also be treated with topical trichloroacetic acid.

     Slight burning is felt when the solution is placed on the skin, but the sensation is only temporary.