Lipid-rich vitreous hemorrhage associated with lipemia retinalis in a young patient with proliferative diabetic retinopathy

1 patient, 22-year-old female with a 10-year history of type 2 diabetes mellitus and hyperlipidemia, presenting with progressive bilateral vision loss, lipemia retinalis, and proliferative diabetic retinopathy complicated by lipid-rich vitreous hemorrhage.

Systemic glucose- and lipid-lowering therapy, pars plana vitrectomy in the right eye, and bilateral intravitreal anti-vascular endothelial growth factor (anti-VEGF) injections.

Visual acuity and resolution of lipemia retinalis and diabetic macular edema at 5 months follow-up.