A Case of Xanthoma Presenting with Blepharoptosis

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.