Lipemia retinalis with different therapeutic responses: A report of two cases

Lipemia retinalis is characterized by retinal blood vessels that are creamy white in color and is considered to be directly correlated to serum triglyceride levels. It is a rare retinal manifestation, with typical serum triglyceride levels above 2500 mg/dL required for its expression. We report two...

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Main Authors: Chun-Chieh Lai, Chun-Hsiang Chang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2021-01-01
Series:Taiwan Journal of Ophthalmology
Subjects:
Online Access:http://www.e-tjo.org/article.asp?issn=2211-5056;year=2021;volume=11;issue=4;spage=405;epage=407;aulast=Lai
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author Chun-Chieh Lai
Chun-Hsiang Chang
author_facet Chun-Chieh Lai
Chun-Hsiang Chang
author_sort Chun-Chieh Lai
collection DOAJ
description Lipemia retinalis is characterized by retinal blood vessels that are creamy white in color and is considered to be directly correlated to serum triglyceride levels. It is a rare retinal manifestation, with typical serum triglyceride levels above 2500 mg/dL required for its expression. We report two cases of lipemia retinalis with hypertriglyceridemia who presented with different retinal pictures during a 5-year follow-up. One showed a normalization of retinal vessels even though the serum triglyceride level was still far more than 2500 mg/dL (4660 mg/dL), but the other had persistent creamy white discoloration despite decreases in serum triglyceride level to below 2500 mg/dL (1031 mg/dL). This suggests that the absolute serum triglyceride level may not be the sole determinant of the typical retinal manifestation. In spite of this, early detection that leads to timely treatment will assist in prevention of severe ocular and systemic vascular complications.
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spelling doaj.art-460996ddae7848a19b16f7f7fdcda0cd2022-12-22T04:04:13ZengWolters Kluwer Medknow PublicationsTaiwan Journal of Ophthalmology2211-50562211-50722021-01-0111440540710.4103/tjo.tjo_73_20Lipemia retinalis with different therapeutic responses: A report of two casesChun-Chieh LaiChun-Hsiang ChangLipemia retinalis is characterized by retinal blood vessels that are creamy white in color and is considered to be directly correlated to serum triglyceride levels. It is a rare retinal manifestation, with typical serum triglyceride levels above 2500 mg/dL required for its expression. We report two cases of lipemia retinalis with hypertriglyceridemia who presented with different retinal pictures during a 5-year follow-up. One showed a normalization of retinal vessels even though the serum triglyceride level was still far more than 2500 mg/dL (4660 mg/dL), but the other had persistent creamy white discoloration despite decreases in serum triglyceride level to below 2500 mg/dL (1031 mg/dL). This suggests that the absolute serum triglyceride level may not be the sole determinant of the typical retinal manifestation. In spite of this, early detection that leads to timely treatment will assist in prevention of severe ocular and systemic vascular complications.http://www.e-tjo.org/article.asp?issn=2211-5056;year=2021;volume=11;issue=4;spage=405;epage=407;aulast=Laihypertriglyceridemialipemia retinalisretina
spellingShingle Chun-Chieh Lai
Chun-Hsiang Chang
Lipemia retinalis with different therapeutic responses: A report of two cases
Taiwan Journal of Ophthalmology
hypertriglyceridemia
lipemia retinalis
retina
title Lipemia retinalis with different therapeutic responses: A report of two cases
title_full Lipemia retinalis with different therapeutic responses: A report of two cases
title_fullStr Lipemia retinalis with different therapeutic responses: A report of two cases
title_full_unstemmed Lipemia retinalis with different therapeutic responses: A report of two cases
title_short Lipemia retinalis with different therapeutic responses: A report of two cases
title_sort lipemia retinalis with different therapeutic responses a report of two cases
topic hypertriglyceridemia
lipemia retinalis
retina
url http://www.e-tjo.org/article.asp?issn=2211-5056;year=2021;volume=11;issue=4;spage=405;epage=407;aulast=Lai
work_keys_str_mv AT chunchiehlai lipemiaretinaliswithdifferenttherapeuticresponsesareportoftwocases
AT chunhsiangchang lipemiaretinaliswithdifferenttherapeuticresponsesareportoftwocases