Prairie Michael L, Rubino Shaina M, Tang Peter H
University of Minnesota Medical School, Minneapolis, MN, USA.
Retina Associates, PA, Winchester, VA, USA.
J Vitreoretin Dis. 2024 Aug 31;8(6):728-730. doi: 10.1177/24741264241275285. eCollection 2024 Nov-Dec.
To describe a case of lipemia retinalis, a rare ocular manifestation of hypertriglyceridemia that is characterized by a creamy-white to salmon-colored appearance to the fundus. A 55-year-old man was referred for an evaluation for diabetic retinopathy and was subsequently found to have marked lipemia retinalis. The patient's triglyceride levels were 3141 mg/dL; therefore, treatment was initiated with high-intensity statin therapy and lifestyle modifications. At the 3-month follow-up, the patient had significantly reduced triglyceride levels (689 mg/dL) and full resolution of lipemia retinalis. Lipemia retinalis may be an initial finding of a severe systemic problem and a harbinger for more severe, and potentially fatal, consequences. Thus, a complete systemic assessment is warranted for any patient with signs of lipemia retinalis.
描述一例视网膜脂血症，这是一种罕见的高甘油三酯血症眼部表现，其特征为眼底呈乳白至鲑鱼色外观。一名55岁男性因糖尿病视网膜病变评估前来就诊，随后被发现患有明显的视网膜脂血症。患者甘油三酯水平为3141mg/dL；因此，开始采用高强度他汀类药物治疗并进行生活方式调整。在3个月的随访中，患者甘油三酯水平显著降低（689mg/dL），视网膜脂血症完全消退。视网膜脂血症可能是严重全身问题的初始表现，也是更严重且可能致命后果的先兆。因此，对于任何有视网膜脂血症体征的患者，都有必要进行全面的全身评估。
