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Yakovleva Yulia Valerievna 5/5 (1 rating)
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Causes Symptoms Diagnostics Treatment Advantages of treatment at MGK Prices
Xanthelasmas of the eyelids look like small single or multiple flat yellowish plaques located at the inner corner of the upper (usually) or lower eyelid. Xanthelasmas are benign formations that are not prone to malignancy; their appearance is associated with general disorders of lipid metabolism.
Prices for treatment for xanthelasma
The cost of surgical treatment of xanthelasma starts from 2000 rubles. (in the presence of a single formation up to 5 mm). The final cost of removal will depend on the number and size of formations, as well as the volume of therapeutic and diagnostic procedures performed.
You can find out the cost of a particular procedure by calling (499) 322-36-36 or online using the appropriate form on the website; you can also read the “Prices” section.
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Symptoms
Xanthelasmas of the eyelids are rounded plaques slightly protruding above the surface of the skin, pale yellow in color, and their consistency is soft. The size of such formations can vary from several millimeters to 1.5 cm; the elements themselves can be either single or multiple. In some patients, xanthelasmas may appear as a solid yellowish stripe extending onto the bridge of the nose.
Xanthelasmas in the lower eyelid area (xanthomas) are rarely isolated; they usually occur in addition to the same formations located on the upper eyelid and are a manifestation of xanthomatosis. Patients with xanthelasmas of the eyelids do not present any complaints; the formations are painless and represent mainly a cosmetic defect. Once occurring, xanthomas and xanthelasmas remain for life, very slowly increasing in size.
What clinical manifestations are xanthelasma characterized by?
Xanthelasmas of the eyelids appear suddenly, grow and develop slowly but steadily. They have a soft consistency and are painless when pressed. In some cases, the neoplasms reach the size of a large bean, merge together, forming a characteristic lumpiness, or transform into a solid yellow stripe running across the entire eyelid.
Xanthelasma does not impair vision, is not prone to malignancy (malignancy) and does not pose a threat to human life. Once a cholesterol plaque appears, it remains on the skin throughout life. Therefore, most often it is perceived primarily as an aesthetic defect.
Diagnostics
Patients with xanthelasma of the eyelids need to consult not only an ophthalmologist, but also an endocrinologist and a dermatologist. The examination must include a general blood test, a study of lipid metabolism (level of lipoproteins and cholesterol in the blood serum).
The characteristic appearance of the formations usually does not pose any difficulties in making a diagnosis. In addition to xanthelasmas and xanthomas, the patient is often diagnosed with obesity, hypertension, metabolic syndrome or diabetes mellitus. Xanthelasma of the eyelids must be differentiated from other similar skin diseases (syringoma, pseudoxanthoma), incl. malignant tumors.
Reasons for the development of xanthelasma
The factors causing the appearance of xanthelasma have not been sufficiently studied. However, in the course of a considerable number of clinical studies, a relationship between the defect and metabolic disorders caused by the deposition of fats in the epidermis was revealed. It has been noted that xanthelasmas are more often detected in people suffering from diabetes mellitus, obesity, liver cirrhosis, myxidema and pancreatitis. Xanthomatosis can be inherited and in this case it manifests itself already in the first year of a child’s life.
Who is at risk?
Most often, xanthelasma occurs in middle-aged and elderly people. As a rule, the “victims” are women who have crossed the age mark of 45 years and suffer from diabetes mellitus and hypercholesterolemia (abnormally high levels of lipids in the blood). However, plaques around the eyelids can also form in men.
Treatment of xanthelasma of the eyelids
Since xanthelasmas and xanthelomas in most cases accompany lipid metabolism disorders, liver disease, etc., it is imperative to treat the underlying disease. It is recommended to follow a diet limiting the consumption of animal fats and replacing them with vegetable fats. If hypercholesterolemia is detected, drugs that normalize lipid metabolism (statins, lipoic acid, berlition) are prescribed. The use of drugs that normalize liver function (choleretic agents, Essentiale, multivitamins) is indicated.
There is no drug treatment for xanthelasma of the eyelid; the formation (at the request of the patient) is removed using a laser, electrocoagulation or surgery. The intervention is performed under local infiltration anesthesia. During removal, a specialist uses tweezers and miniature scissors to separate the base of the plaque, then treats the skin in the wound area with an antiseptic. If the size of the lesion to be removed is not large, the edges of the wound are treated with a solution of iron albuminate, which promotes effective healing. In the case of a more extensive wound surface, its edges are treated with electric current (diathermy) or cosmetic sutures are applied.
Possible complications after xanthelasma removal
- Relapse of the disease. If high blood cholesterol levels are not changed and lipid metabolism is not normalized, xanthelasma may return. It is in order to prevent this that the patient is recommended to switch to a diet that is suitable in this case (vegetable protein);
- Formation of a scar (hypertrophic or keloid) at the suture site after surgical removal of the plaque (possible with a predisposition to the formation of keloid scars).
As a rule, treatment of xanthelasma is complex, and the risk of complications is quite low.
Advantages of xanthelasma treatment and prices at MGK
By contacting the Moscow Eye Clinic, you can be assured of a quick and reliable diagnosis of xanthelasma of the eyelid and its effective treatment. Removal of xanthelasma of the eyelid can only be performed by a specialist with appropriate professional skills. To avoid possible complications, this procedure should be entrusted to an experienced doctor. At the Moscow Eye Clinic you will be able to undergo all the necessary tests, based on the results of which the attending physician will recommend you the most effective treatment methods. The Clinic employs specialists with extensive professional experience who enjoy well-deserved respect both among colleagues and among patients.
Removal of xanthelasma of the eyelid is performed on an outpatient basis under local anesthesia. During the operation, sterile instruments and disposable consumables are used, which eliminates the risk of infectious complications.
Diet
Dietary nutrition is the main method of treating high concentrations of cholesterol in the blood, which results in the appearance of cholesterol plaques and fatty deposits throughout the body.
It is necessary to completely eliminate animal fats from the diet and replace them with vegetable oils, as well as eliminate the consumption of sugar and sweet desserts.
Bread and baked goods made from the highest grades of white flour are also contraindicated, because they not only raise the cholesterol index in the blood, but also increase blood sugar.
It is also necessary to follow the principles of an anti-cholesterol diet:
- Diet: 5-6 times a day, in small portions;
- Each time you eat, you should use no more than 1 - 2 teaspoons of vegetable oils. You can eat 25.0 grams of cow’s butter per day, 75.0 grams of vegetable oils;
- Drink no less than 2000.0 milliliters of water per day;
- Reduce salt intake to 2.0 - 5.0 grams per day;
- Introduce sea fish into your diet 3-4 times a week;
- 60.0% of the total daily diet should be vegetables - fresh and after minor heat treatment, as well as a lot of greens and fresh fruits.
Diet: 5-6 times a day, in small portions
