Xanthelasma is a manifestation of hyperlipidaemia this can be palpebral or bulbar in has to look for he c v s status of these patients and other ocular manifestations like ·         Pinguecula atheromatous ·         Corneal deaeration ·         Lipaemia retinalis ·         Retinal xanthoma Though rare surgery is cosmetic does has recurrence better to do surgery under microscope.