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Forum Name: Dermatology Topics

Question: xanthomas on upper and lower eye lids


 rbazer - Thu Apr 30, 2009 10:10 pm

i have VA medical coverage

i am having some problems with the xanthomas more with the bottom eye lids

feels gravelly, puffy & irratated

the VA will do something about the bottom eye lids but not the top eye lid

is there a medical excuse around this cosmetic restriction??

maybe there is a symptom that i am not describing to them properly....

thank you,

R
 John Kenyon, CNA - Mon May 18, 2009 10:27 pm

User avatar Hello --

I have no idea why the VA is refusing to treat the upper eyelid xanthomas, and I have considerable experience with military medicine, which is precisely why this may not make sense but also isn't surprising. However, there may actually be a medical contraindication for this -- although I don't know why this couldn't be explained to you by the VA doctors. There may be a legitimate explanation, but I'm unaware of it. I will refer this question to both the opthamological and dermatological teams here in case anyone on either team may have some insight into this that has escaped me. Please check back in a day or two to see if anyone has advanced any plausible ideas. Good luck to you.
 Dr. Ramamurthy M G - Tue May 19, 2009 11:53 am

Hi, I am not very sure why they are refusing in your case, but normally the lower part of the eye lids have more boggy skin and easy to cosmetically correct compared to upperlids. If the upper eyelids's skin is excised without proper coverage it might lead to other unwanted complications. May be so? Regards,
Dr.Ramamurthy M G

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