Nagra Parveen K, Ho Allen C, Dugan John D
Retina Service, Philadelphia, Pennsylvania, USA.
Am J Ophthalmol. 2003 Apr;135(4):539-42. doi: 10.1016/s0002-9394(02)02076-7.
To report a patient with a branch retinal vein occlusion associated with lipemia retinalis.
Observational case report.
A 58-year-old woman presented with decreased vision and was found to have a branch retinal vein occlusion with massive lipid exudation in the setting of lipemia retinalis. Laboratory testing demonstrated an abnormal lipid profile with a markedly elevated triglyceride level. The setting was a retina service in a major referral center.
Management of the hypertriglyceridemia with medication, exercise, and dietary modification resolved the lipemia retinalis and was associated with improvement in visual function.
Although usually not visually significant, lipemia retinalis may be associated with vascular pathology, such as a branch retinal vein occlusion with marked exudative response and decreased visual acuity. Because of potential systemic and ocular complications of lipemia retinalis, these patients should be referred for management of their lipid disorder.
报告一例视网膜分支静脉阻塞合并视网膜脂血症的患者。
观察性病例报告。
一名58岁女性因视力下降就诊，被发现患有视网膜分支静脉阻塞，并伴有视网膜脂血症背景下的大量脂质渗出。实验室检查显示血脂异常，甘油三酯水平显著升高。该病例来自一家大型转诊中心的视网膜专科。
通过药物、运动和饮食调整来管理高甘油三酯血症，使视网膜脂血症得到缓解，并改善了视觉功能。
尽管视网膜脂血症通常对视力影响不大，但可能与血管病变有关，如伴有明显渗出反应和视力下降的视网膜分支静脉阻塞。由于视网膜脂血症可能存在全身和眼部并发症，这些患者应转诊以治疗其脂质紊乱。
