Open AccessLipemia Retinalis in a Patient with Familial Hypertriglyceridemia
Author(s) -
Patrick Wang,
Eric K. Chin,
David R.P. Almeida
Publication year - 2020
Publication title -
journal of clinical imaging science
Language(s) - English
Resource type - Journals
eISSN - 2156-7514
pISSN - 2156-5597
DOI - 10.25259/jcis_154_2020
Subject(s) - medicine , hypertriglyceridemia , retinal , ophthalmology , dyslipidemia , comorbidity , retinopathy , medical history , triglyceride , diabetes mellitus , cardiology , pediatrics , disease , cholesterol , endocrinology
A 45-year-old female with a history of hypertension presented with complaints of intermittent vision loss and blurred vision. Clinical examination revealed diffuse retinal whitening in the peripapillary area with multiple visible emboli in the first- and second-order arteries. The patient’s retinal findings were keeping within features of lipemia retinalis, and serum lipids were ordered which returned a triglyceride level of 1504 mg/dL. The patient was referred to primary care for vascular risk factor management and potential genetic testing. Ocular signs of hypertriglyceridemia manifest as lipemia retinalis, characterized by white vascular lesions and retinal lipid infiltration. The high comorbidity of hypertriglyceridemia and hypertension may warrant close monitoring hypertensive complications such as hypertensive retinopathy.