What should I do if there is yellow on my eyelids?

If yellow tumors appear on the eyelids, it may be due to problems with lipid metabolism. It often occurs in middle-aged women. If there is liver disease or bile duct obstruction, this situation may occur. It is also called eyelid xanthomas. When such yellow tumors appear, you can adjust your diet and try to eat less foods with high cholesterol. You can also use medication or surgical treatment.

What should I do if there is yellow on my eyelids?

1. Diet therapy: If the patient exceeds the standard weight, he/she should lose weight; if the patient's triglycerides are elevated after testing, the total calories should be reduced, especially the intake of sucrose, and alcohol should be consumed less; if the patient's cholesterol level is elevated, the intake of cholesterol-containing foods should be reduced.

2. Drug therapy: Eyelid xanthomas can often disappear within 1 year through diet therapy. If the symptoms do not subside, you can take clofibrate, 2 g per day, or you can take niacin, 3 g per day. The latter should be taken with meals, and you should avoid drinking alcohol and hot drinks at the same time to minimize the facial flushing. If the patient has a strong response to niacin, start with a small dose and gradually increase to 3 g per day. Boiling the Chinese medicine hawthorn and corn silk in water and drinking it also has certain therapeutic effects and you can take it consistently.

3. Surgical treatment: For patients with eyelid xanthomas with normal blood lipids, contact cryotherapy and surgical resection can be used. The contact freezing method is to use a cotton swab dipped in liquid nitrogen to contact the lesion. The freeze-thaw cycle is when the area turns white and then returns to its original yellow color. Depending on the thickness of the xanthomas, 6 to 12 freeze-thaw cycles may be applied.

After freezing, do not get the area wet. The xanthomas will fall off in about a week. The remaining parts or recurring patients can be frozen again. The surgical excision must be thorough, and care must be taken not to cause deformation of the eye and affect its appearance during suturing after excision. Surgery is not the first choice for this disease, diet therapy is the first choice. Before surgery, the patient should be informed that the disease may recur.

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