El Rami H, Chelala E, Kourié H R, Antoun J
Service d'ophtalmologie de l'Hôtel-Dieu de France, CHU de l'université Saint-Joseph, boulevard Alfred Naccache, Achrafieh, Beyrouth, Liban.
J Fr Ophtalmol. 2012 Dec;35(10):820.e1-5. doi: 10.1016/j.jfo.2012.02.011. Epub 2012 Sep 28.
A case of grade III lipemia retinalis is reported in a 14-year-old girl presenting to the emergency department with fatigue and somnolence. Diabetic ketoacidosis diagnostic of type 1 diabetes mellitus and severe hypertriglyceridemia (23,508 mg/dL) were found on routine blood tests. The patient was admitted to the hospital, kept NPO, and intravenous insulin was started. Her symptoms rapidly improved as did the lipid panel and fundus exam. Cases of lipemia retinalis described in the literature typically occur at a blood triglyceride level above 2,000-2,500 mg/dL. A high level of chylomicrons is responsible for the milky appearance of the serum and retinal vessels. Once the blood triglyceride level decreases significantly, the fundus appearance usually returns to normal.
报告了一例III级视网膜脂血症病例，患者为一名14岁女孩，因疲劳和嗜睡前往急诊科就诊。常规血液检查发现诊断为1型糖尿病的糖尿病酮症酸中毒和严重高甘油三酯血症（23,508mg/dL）。患者入院，禁食，开始静脉注射胰岛素。她的症状迅速改善，血脂指标和眼底检查也有所改善。文献中描述的视网膜脂血症病例通常发生在血液甘油三酯水平高于2000 - 2500mg/dL时。高水平的乳糜微粒导致血清和视网膜血管呈现乳状外观。一旦血液甘油三酯水平显著下降，眼底外观通常会恢复正常。
