High Cholesterol Affects Eyes: From Xanthelasma to Hollenhorst Plaque
High cholesterol levels can affect your eyes in various ways, from yellow deposits around your eyelids to serious conditions like Hollenhorst plaque. Dr. Nicole Bajic, a comprehensive ophthalmologist at the Cole Eye Institute, Cleveland Clinic, explains these issues and their treatments.
Xanthelasma, the most common cholesterol-related eye issue, appears as small, yellowish fatty deposits in the skin around your eyes, typically on the upper eyelids. While often just a cosmetic concern, it can cause distress if deposits grow. Arcus senilis, a white or grayish ring in the periphery of the cornea, also indicates high cholesterol levels but does not impair vision.
Hollenhorst plaque, a blockage in a blood vessel within the eye, is more serious. Caused by high cholesterol and atherosclerosis, it can lead to severe vision consequences. Medication, including statins and PCSK9 inhibitors, can lower cholesterol levels and prevent these issues. A low-fat diet, like the Mediterranean Diet, also helps. In severe cases of xanthelasma, cosmetic surgery or laser therapies may be suggested, but they can result in scarring.
Cholesterol deposits around your eyes can manifest in different ways, from xanthelasma to Hollenhorst plaque. While some may be purely cosmetic, others can cause distress or serious vision problems. Consult a healthcare provider as soon as you notice these issues to address high cholesterol levels and optimize your health.
