I have a yellow tumor in my eye, causes and treatment of blepharospasis and plastic surgeon Eunjung Lee

I have a yellow tumor in my eye, causes and treatment of blepharospasis and plastic surgeon Eunjung Lee

Dec 17, 2024Ehotyshamull Joy

 

1. What is blepharospasis xanthomas?
What is blepharothosis?
Blepharospasis is a yellowish tumor caused by cholesterol deposits under the skin around the eyes. Blepharothosis does not cause eye pain or functional disruption. Furthermore, some people think that treatment is not necessary because the recurrence rate is high even with treatment. However, patients complain of considerable mental stress in interpersonal relationships, and above all, blepharothosis is an important disease in terms of health signals sent by the body.
2. Risk group for blepharothosis
Who is most likely to have blepharopharsis?
Blepharothosis occurs in about 0.3% of all men and 1.1% of all women. In other words, there are about four times as many female patients as male patients. In addition, statistics show that more than 50% of blepharoptosis patients have a family history of lipid metabolism abnormalities.
3. Relationship between blepharothosis and lipid metabolism
What is the relationship between blepharothosis and lipid metabolism?

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.

 

4. Treatment of blepharothosis
How is blepharoida treated?

Treatment options for blepharosis are divided into surgical and non-surgical treatmentsSurgical 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 treatmentThe most reliable way to prevent recurrence is to treat lipid metabolism abnormalities.

 

5. Tips for blepharothosis recurrence
What can I do to prevent blepharothosis from recurring?

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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