Images in Clinical Medicine from The New England Journal of Medicine — Lipemia Retinalis Associated with Secondary Hyperlipidemia. BACKGROUND: Lipemia retinalis is a rare condition characterized by creamy, white colored vessels. It is directly related to the levels of plasma triglycerides. We report the case of a week-old boy presenting with increased cholesterol and triglyceride levels. Examination revealed lipemia retinalis. Genetic.

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Lipemia retinalis – an unusual cause of visual acuity deterioration

Lipemia retinalis associated with secondary hyperlipidemia. Eye Lond ; 7: The patient was referred back to the paediatrician and the parents were advised to give only skimmed milk. Retrieved from ” http: Xanthomas appeared in the face and breast. In Julyadministration of ritonavir and saquinavir was discontinued because of concerns regarding pancreatitis.

Lipaemia Retinalis

Hyperlipidemia is an retinaalis factor of premature vessel atherosclerosis. This article has been cited by other articles in PMC. His birth weight was g, and the gestational age was 31 weeks. The retina was attached postoperatively with atrophic macular changes resulting in poor vision.

Open in a separate window. Get free access to newly published articles Create a personal account or sign retinaalis to: This paper discusses the case of a year-old patient with lipemia retinalis, which deteriorated his visual acuity.

Sign in to make a comment Sign in to your personal account. Lipemia retinalis is a lipemiia retinal manifestation of hypertriglyceridemia [ 2 — 4 ]. We report the case of a year-old patient treated for age-related macular degeneration who had exudative form in the right eye and non-exudative in the left eye for 2 years, and presented a deterioration of vision in his left eye.


Lipemia retinalis in a day-old infant with hyperlipoproteinemia: Lipemia Retinalis of Prematurity. Arch Ophthalmol ; The right eye fundus after treatment. Treatment is necessary for the systemic effects of hypertriglyceridemia, although no treatment is required for rtinalis lipemia retinalis itself.

There were no lipid depositions or eruptive xanthomas over skin. Kiernan, MD All contributors: First daughter of a consanguineous marriage first cousinsabdominal delivery, full-term uneventful pregnancy, birth weight g, 47 cm length; breastfed only. Med Sci Monit ; Fluorescein and indocyanine angiography testing is typically unremarkable.

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Lipemia Retinalis

Lipemia retinalis preceding acute pancreatitis. The treatment for lipemia retinalis is primarily is directed at reducing serum triglyceride and therefore serum cholesterol levels. Photo courtesy of Daniel F.

Although lipemia retinalis is a transient retinal finding and does not seem to directly cause any permanent retinal disease, it is important to recognize it as a sign of profound lipid abnormality in people with AIDS, potentially causing premature cardiovascular disease and pancreatitis. After intestinal absorption the triglycerides enter the circulatory system and the chilomicrons are the way triglycerides are transported.

BMC Endocrine Disorders Ocular manifestations of hyperlipoproteinemia.

This smaller lipoprotein is important for transportation of fat in the metabolism but does not contribute to the change of serum colour 6. The ocular features are: We successfully treated a neonate born prematurely with lipemia retinalis and hypertriglyceridemia using medium-chain triglyceride MCT milk.

This page has been accessed 4, times. Pathobiology of ocular disease: In the case of our patient, hyperlipidemia was secondary to a lipid-rich diet, excessive use of alcohol and lack of physical activity. Search Google Scholar for. Case Report This paper discusses the case of a year-old patient with lipemia retinalis, which deteriorated his visual acuity. Testing may demonstrate hyperreflective and engorged retinal vessels and white dots in the inner nuclear and ganglion cell layer which may slowly disipate over several months after serum retjnalis levels are normalized.


The patient suffered from coronary disease, retonalis, hyperlipidemia, hepatic lesion and alcoholic dependence.

Lipemia Retinalis – EyeWiki

Published online Aug 1. Original article contributed by: Lipemia retinalis is commonly associated with high triglyceride levels in hyperlipoproteinemias types 1, 3, 4, and 5 with different underlying causes, [2] and chromosome microarray and lipid gene sequencing may demonstrate a homozygous lipoprotein lipase gene coding mutation.

At 4 weeks of age, no abnormalities were seen in the ocular position, the light reflex, and the anterior segment of either eye. The baby’s parents were submitted to laboratory examinations and presented the following: Hypercholesterolemia alone does not produce retinal changes [ 12 ].

Changes seen in this condition include a milky white discoloration of the retinal vessels, beginning at the periphery but progressing to involve the posterior pole as the level of serum triglycerides rises.

Referral to an internist for reassessment of their antiretroviral therapy, commencement of lipid-lowering therapy, and assessment of cardiac risk factors would be advisable.

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