|Year : 1982 | Volume
| Issue : 3 | Page : 161-162
Tuberous xanthoma of upper eye lids
Yogesh Shukla, PS Ratnawat
Department of Ophthalmology, S.M.S. Medical College, Jaipur, India
Deptt. of Ophthalmology, S.M.S. Medical College, Jaipur
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Shukla Y, Ratnawat P S. Tuberous xanthoma of upper eye lids. Indian J Ophthalmol 1982;30:161-2
Xanthomas are aggregation of fat laden macrophages in the cutis and subcutaneous tissue. The usual lesion is xanthelasma which occurs as yellowish, slightly raised patches in the lids near the inner canthus, but rarely a nodular lesion of considerable size may occur in the lids. Such tuberous xanthomas may be comparatively acute and sometimes a single nodule may appear as a small firm tumour.
| Case report|| |
50 years old female was seen in nearby eye camp with the complaint of bilateral swelling of upper eye lids, since 3 years. The swelling was gradually progressive, painless and hot associated with any other symptoms. On examination the swelling was nodular, extending throughout the lids, firm in consistency, non tender and the skin was adherent to the swelling. Her routine investigations of T.L.C., D.L.C., E.S.R. and urine were normal. Her serum cholesterol and blood sugar were also within normal limits. Plin X-ray showed no bony involvement. A biopsy was taken and the patient advised to report again at the Medical College Hospital. The biopsy report showed large pale staining fat laden histiocytes with granular or foamy cytoplasm and small, dark staining fibroblasts in the subcutaneous tissue. The infiltration was deep invading the orbicularis muscle also [Figure - 1].
| Discussion|| |
Xanthomas are more common in female patients with normal serum cholesterol levels at around the fifth decade. They may also occur in the lids in patients with primary hyper cholesterolemia or as secondary xanthomatosis. They develop slowly, may be itchy or tender and occasionally small nodules may involute and disappear. Effective treatment is total excision.
| Summary|| |
A case of tuberous xanthoma of both upper eye lids in female patient with normal serum cholesterol level is presented. The tumour is an uncommon form of xanthoma, the usual type being a xanthelasma.
| References|| |
Duke Elder, S., 1972, System of Ophthalmology ocular adnexa. Vol. XIII. Henry Kimpton, London.
Hogan, M.J. and Zimmerman, L.E., 1962, Ophthalmic pathology (second edition) Published by W.B. Saunders Co. London & Philadelphia.
O'brien, C.S. and Braley, A.E., 1936, J. Amer. Med. Assoc. 107: 933.
Roe, D.A., 1968, Arch. Dermatol. 97:436.
[Figure - 1]