These agents precipitate and coagulate proteins and dissolve lipids. Monochloroacetic acid, dichloroacetic acid, and trichloroacetic acid have been used with good results. Electrodesiccation and cryotherapy can destroy xanthelasmas when they are superficial but may require repeated treatments. Cryotherapy may cause scarring and hypopigmentation. Patients should receive follow-up care for medical and surgical treatment.
Recurrence is common.
This percentage is higher with secondary excisions. Xanthelasma palpebrarum and risk of atherosclerosis. Current Ocular Therapy. Treatment of xanthelasma palpebrarum with bichloracetic acid. Masters Technique in Ophthalmic Surgery.