一名接受早产儿视网膜病变治疗的婴儿出现视网膜脂血症。

Lipemia retinalis in an infant treated for retinopathy of prematurity.

作者信息

Jain Astha, Mochi Thirumalesh B, Braganza Sherine D, Agrawal Sumeet, Shetty Bhujang K, Pachiyappan Balachandran

机构信息

Narayana Nethralaya Eye Hospital, Bangalore, Karnataka, India.

出版信息

J AAPOS. 2017 Jun;21(3):254-257. doi: 10.1016/j.jaapos.2017.05.021. Epub 2017 May 27.

DOI:10.1016/j.jaapos.2017.05.021

PMID:28558973

Abstract

Lipemia retinalis is an unusual ocular finding associated with hypertriglyceridemia. We report the case of an infant treated for retinopathy of prematurity who later developed lipemia retinalis, with triglyceride levels of 4736 mg/dl. There was a paradoxical worsening of hypertriglyceridemia with the use of medium chain triglyceride supplement. On discontinuing the supplement, the triglycerides level drastically dropped, and retinal vasculature returned to a normal hue.

摘要

视网膜脂血症是一种与高甘油三酯血症相关的罕见眼部表现。我们报告一例接受早产儿视网膜病变治疗的婴儿，其后来出现了视网膜脂血症，甘油三酯水平达4736毫克/分升。使用中链甘油三酯补充剂后，出现了矛盾的高甘油三酯血症恶化情况。停用补充剂后，甘油三酯水平急剧下降，视网膜血管恢复正常色泽。