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In fact, lipid metabolism abnormalities are closely related to blepharospasis xanthoma. Lipid metabolism abnormalities are general problems with total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride levels.
First of all, cholesterol is an essential component involved in the formation of cell membranes and the production of hormones and digestive enzymes in the body, and about 20% of cholesterol is affected by the food we eat, and 80% is produced by the liver itself.
LDL cholesterol (low-density cholesterol) is the cholesterol that is responsible for delivering cholesterol produced by the liver to the cells of the body. In general, LDL cholesterol is normal at around 100 mg/dl, but if the threshold is exceeded, cholesterol accumulates in the lining of blood vessels, and LDL cholesterol is sometimes referred to as bad cholesterol.
HDL cholesterol (high-density cholesterol) is the opposite of LDL, which is used and is responsible for recovering leftover cholesterol to the liver. Unlike LDL cholesterol, it is also nicknamed good cholesterol. If lower LDL cholesterol is better, HDL cholesterol is better than 50 mg/dl.
Triglycerides are fats that accumulate in the intestines or liver. Although it is used by the body as a high source of energy, too high levels of triglycerides can harden LDL cholesterol and cause inflammation around blood vessels.
When cholesterol accumulates in the blood vessels due to abnormalities in lipid metabolism, such as LDL or triglycerides higher than the baseline value or HDL lower than the baseline value, cholesterol begins to accumulate in the blood vessels, increasing the risk of developing blepharothosis and making the patient more susceptible to fatal cardiovascular diseases. This is why patients with ptosis see blepharosis as a signal from their heart and need integrated treatment.
Treatment options for blepharosis are divided into surgical and non-surgical treatments. Surgical treatment involves excision of the tumor and suturing, while non-surgical treatment involves removing the tumor lesion with a laser. Since most blepharothalasis only invade the upper layer of the dermis layer, it can be easily treated with primary laser treatment.
However, if frequent surgeries continue, the entire shape of the eye may be distorted while cutting the skin, so it is important to prevent recurrence by having an examination every 3~6 months even after treatment. The most reliable way to prevent recurrence is to treat lipid metabolism abnormalities.
If blepharospasis occurs, it is recommended that you undergo lipid metabolism testing and begin appropriate medical treatment accordingly. This is because proper cholesterol control can not only prevent blepharothosis from reappearing, but it can also prevent cardiovascular disease, which can be caused by damage to blood vessels. To prevent recurrence of blepharospasis xanthoma, an LDL cholesterol level of 70 mg/dl or less and a triglyceride level of 120 mg/dl or less are recommended.
Cholesterol-lowering medications include statins and fibrates. Food accounts for 20% of cholesterol in the body's blood, but dietary control is also important. Seaweed foods such as kelp and seaweed can prevent LDL cholesterol from being reabsorbed in the large intestine, and unsaturated fatty acids such as omega-3 in blue fish are also known to regulate cholesterol levels. On the other hand, it is best to avoid frequent consumption of beef, pork belly, and fried foods that contain a lot of saturated fatty acids and trans fats.
In addition, triglycerides that accumulate in our internal organs, especially fatty liver, which is deposited in the liver, are most effective to treat through exercise.
Of course, treating lipid metabolism does not mean that blepharosis that has already formed will disappear naturally. Tumors should be removed through orthopedic or dermatological procedures, and internal medicine treatment should be used to manage the underlying cause for an integrated approach.
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