What causes xanthelasma, and what is the best treatment method?
Dec 05, 2022
Source: Cainiu Health
Dr. Cui Xin
Introduction
Xanthelasma palpebrarum may be caused by conditions such as hyperlipoproteinemia, diabetes, or thyroid dysfunction. Patients can usually undergo treatments such as argon laser, pulsed dye laser, or surgery for removal. Low molecular weight heparin sodium injections can also be used as a treatment option. Patients should ensure adequate rest and avoid fatigue. Attention to personal hygiene and maintaining clean, healthy skin is also important.
Xanthelasma palpebrarum may be caused by underlying conditions such as hyperlipoproteinemia, diabetes, or thyroid dysfunction. Patients can typically eliminate the lesions through treatments such as argon laser, pulsed dye laser, or surgery.
1. Argon Laser: Xanthelasma palpebrarum can be treated with argon laser therapy. The mechanism involves hemoglobin absorbing light energy and converting it into heat, leading to vascular coagulation. The heat is then conducted to surrounding cells, causing them to denature. However, argon laser has limited tissue penetration, so treatment depth must be carefully controlled.
2. Pulsed Dye Laser: Pulsed dye laser can also be used for treatment. It utilizes laser-generated heat to destroy hemoglobin in cutaneous capillaries, helping to reduce post-inflammatory erythema and alleviate symptoms of xanthelasma.
3. Surgical Excision: In severe cases, surgical removal may be performed. For smaller lesions, direct excision or excision combined with blepharoplasty may be chosen. For larger lesions, double eyelid formation (blepharoplasty) can be employed, using excess skin to repair any skin defects.
Xanthelasma palpebrarum can also be treated via injection of low molecular weight heparin sodium. Patients should ensure adequate rest and avoid fatigue. Attention to personal hygiene and maintaining clean, healthy skin is also important.
