J Korean Ophthalmol Soc.  2002 Dec;43(12):2585-2588.

A Case of Xanthoma Presenting with Blepharoptosis

• Shin CH
• Woo KI
• Chang HR

Abstract

PURPOSE: Xanthoma in the eyelids is a common dermatologic disorder. Generally these lesions do not affect the function of the eyelids. We report a case of xanthoma that has caused lid edema and ptosis.
METHODS
A 46-year-old woman presented with ptosis and mass of the right upper eyelid for several months. We tried oral corticosteroid treatment, but the lesion was not lessened. We performed an excisional biopsy for the mass and ptosis correction.
RESULTS
Histopathological examination of the mass revealed xanthoma. Lipid-laden histocytes infiltrated through the subcutaneous tissue, dermis, muscle layer and the preaponeurotic fat tissue. After surgical treatment, the patient was treated with Fenofibrate. There was a mild recurrence after a 18 months of follow-up.

Keyword

Xanthoma; Ptosis; Pseudotumor

MeSH Terms

Biopsy
Blepharoptosis*
Dermis
Edema
Eyelids
Female
Fenofibrate
Follow-Up Studies
Humans
Middle Aged
Recurrence
Subcutaneous Tissue
Xanthomatosis*
Fenofibrate