Treatment of xanthelasma palpebrarum by ablative lasers, series of 14 cases

Abstract

Background: Xanthelasma palpebrarum is the most common type of xanthoma. The objective of our study was to evaluate the efficacy and side effects of ablative lasers in the treatment of xanthelasma. Material and methods: We collected patients presenting xanthelasma of the eyelids treated by ablative laser, over 3 years. Results: 14 patients, with a total of 38 lesions, the average age was 52.9.We observed bilateral lesions in 9 of our patients. Upper eyelid involvement was the most frequent with a percentage of 85.7%. Concerning the types of laser used, 3 patients were treated with a CO2 laser,the other patients were treated with an erbium Yag laser. Concerning the side effects, we noted a rapidly resolving edema in 3 patients, slight hypo-pigmented atrophic scars in 3 patients. Conclusion: Laser therapies are an excellent cosmetic treatment option for xanthelasma palpebrarum with good efficacy and minimal side effects.