Images in Clinical Medicine from The New England Journal of Medicine — Lipemia Retinalis Associated with Secondary Hyperlipidemia. BACKGROUND: Lipemia retinalis is a rare condition characterized by creamy, white colored vessels. It is directly related to the levels of plasma triglycerides. We report the case of a week-old boy presenting with increased cholesterol and triglyceride levels. Examination revealed lipemia retinalis. Genetic.

Author: Moogusar Kagacage
Country: Vietnam
Language: English (Spanish)
Genre: Marketing
Published (Last): 16 December 2010
Pages: 118
PDF File Size: 8.47 Mb
ePub File Size: 5.24 Mb
ISBN: 173-9-80180-810-7
Downloads: 17406
Price: Free* [*Free Regsitration Required]
Uploader: Mazragore

The Academy uses cookies to analyze performance and provide relevant personalized content to users of our website. Sign in to customize your interests Sign in to your personal account. The same idea is defended by other authors 7 who justified that we have some cases with elevated levels of chilomicrons and triglycerides that did not present lipemia retinalis suggesting that changes in lipema and in the translucence of the retinal and choroid vessels showld be considered.

Lipemia Retinalis of Prematurity | JAMA Ophthalmology | JAMA Network

Two days after admission she underwent blood transfusion. According to Nagra et al. Purchase access Subscribe to the journal.

Subsequent ophthalmologic evaluation was performed 3 days after admissionpupils were isochoric, corneas were transparent, normal ocular tension and ophthalmoscopically a typical fundal picture of lipemia retinalis was noticed in both eyes, all vessels had a creamy aspect and it was difficult to differentiate retinal arterioles from veins Figure 1. The retinallis is thought to involve an alteration in intermediary metabolism by the release of cytokines as a result of the immune response triggered by systemic infection.

Patients with lipemia retinalis are at increased systemic risk for coronary artery disease, myocardial infarction and stroke and increased ophthalmic risk for retinal artery and vein occlusions and retinal ischemia. Hyperlipidemia is an identified factor of premature vessel atherosclerosis.


She was the first child of her non-consanguineous marriage.

Lipemia retinalis in a day-old infant with hyperlipoproteinemia: case report

Lipemia retinalis in a day-old infant with hyperlipoproteinemia: She was on exclusive breast feeding. Familial combined hyperlipidemia in a North Indian kindred. Visual acuity and examination were normal except for the retinal vessels seen on dilated exam. Treatment of the disease primarily consists of diet and physical exercise. However, it was shown in a rabbit model of hypercholesterolemia that normalization of serum cholesterol levels was not enough to reverse cholesterol-induced vascular damage to the choroid and retinal vessels.

Lipemia Retinalis in Acquired Immunodeficiency Syndrome Treated With Protease Inhibitors

Summary Background Hyperlipidemia is an identified factor of premature vessel atherosclerosis. Lipemia retinalis in a day-old infant with hyperlipoproteinemia: A syndrome of peripheral lipodystrophy, hyperlipidemia, and insulin resistance in patients receiving HIV protease inhibitors.

Lipaemia retinalis usually has no effects on the visual acuity, even with extensive involvement of the vessels and, may be underdiagnosed.

It occurs in lipemix of all ages and in cases of primary and secondary hyperlipidemia. J Postgrad Med ; Very high levels of triglycerides are required; hypercholesterolemia alone does not produce this vascular appearance [ 2 ].

Findings from an examination in September revealed a macula-off retinal detachment in the right eye secondary to inactive cytomegalovirus retinitis.

Please review our privacy policy. The baby was referred to our Institute for an ophthalmological examination as the pediatrician had noticed a dull lilemia glow on ophthalmoscopy. Right and left eyes of a year-old lipemiz woman who was referred by an optometrist rftinalis abnormal-appearing blood vessels. Lipemia Retinalis is a rare manifestation of hypertriglyceridemia manifested by abnormal appearance of the retinal arteries and veins, and occasionally the entire fundus.


The aspect of grade III has rarely been described 2. Pathobiology of ocular disease: In the case of our patient, hyperlipidemia was secondary to a lipid-rich diet, excessive use of alcohol and lack of physical activity.

The differential for lipemia retinalis includes branch retinal artery or vein occlusion, hypertensive retinopathy, and diffuse choroidal hemangioma the salmon fundus seen in ate stage lipemia retinalis cases may resemble the tomato catsup fundus seen in patients with diffuse hemangioma. After plasmapheresis therapy, delayed transfusion reactions or infection related to the use retinais central venous catheter can occur days after the treatment, and patients should seek medical attention if signs and symptoms occur.

Lipemia retinalis is an important and reliable parameter of high levels of chilomicrons and triglycerides and should be considered as a significant clue while diagnosing.

The lipid-lowering therapy may lead to the normalization of the appearance of the fundus and restore the visual acuity. Lipemia retinalis is an important and reliable parameter of high levels of chilomicrons and triglycerides and should be considered as a significant clue while diagnosing.

Retinalid daughter of a consanguineous marriage first cousinsabdominal delivery, full-term uneventful pregnancy, birth weight g, 47 cm length; breastfed only. Published online Aug 1. The fundus appearance is transient and resolves quickly with the treatment of the underlying hyperlipidemia.