Key result
A 45-year-old female with familial hypertriglyceridemia (triglycerides 1504 mg/dL) presented with lipemia retinalis complicated by symptomatic retinal ischemia and hypertensive retinopathy.
Case Report (n=1)
Severe hypertriglyceridemia can manifest as lipemia retinalis, highlighting the need for lipid screening in patients with characteristic retinal findings.
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Recognition of lipemia retinalis should prompt triglyceride screening; this case leaves open the prevalence of associated retinal ischemia.
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.
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Wang et al. (2020) conducted a case report in Familial Hypertriglyceridemia and Lipemia Retinalis (n=1). Familial Hypertriglyceridemia was evaluated. A 45-year-old female with familial hypertriglyceridemia (triglycerides 1504 mg/dL) presented with lipemia retinalis complicated by symptomatic retinal ischemia and hypertensive retinopathy.
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