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Ophthalmic Plast Reconstr Surg. 2009 Jul-Aug;25(4):280-3. doi: 10.1097/IOP.0b013e3181aa9a1f.

Treatment of eyelid xanthelasma with 70% trichloroacetic acid.

Author information

1
Department of Ophthalmology, Santa Casa de São Paulo, São Paulo, Brazil. tatinahas@uol.com

Abstract

PURPOSE:

To analyze the results of treatment of eyelid xanthelasma (EX) with 70% trichloroacetic acid (TCA) with regard to efficacy, cosmetic appearance, patient satisfaction, and recurrence rate.

METHODS:

Twenty-four patients with EX of up to one third of the affected palpebral area were treated with 70% TCA. All patients were photographed at the start of treatment and 3 months after the last application. The recurrence rate was analyzed at the end of 6 months of treatment.

RESULTS:

The average number of applications of 70% TCA until the xanthelasma resolved was 1.5. Eleven patients (45.8%) had an excellent result, 8 (33.3%) a good result, and 5 (20.8%) had a satisfactory result. The most common complication was hypopigmentation (33.3%). All patients reported an improved final cosmetic result. Six patients (25%) treated with 70% TCA had a recurrence 6 months after treatment.

CONCLUSIONS:

The results of prospective treatment of 24 patients with EX with 70% TCA indicated that this is a simple and effective method, achieves a satisfactory cosmetic result, has an acceptable recurrence rate, and high patient satisfaction.

PMID:
19617785
DOI:
10.1097/IOP.0b013e3181aa9a1f
[Indexed for MEDLINE]

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