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Year : 2019  |  Volume : 67  |  Issue : 6  |  Page : 953

Lipemia retinalis in an infant

1 Department of Ophthalmology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2 Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Web Publication24-May-2019

Correspondence Address:
Dr. Deeksha Katoch
Department of Ophthalmology, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_225_19

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How to cite this article:
Samanta R, Katoch D. Lipemia retinalis in an infant. Indian J Ophthalmol 2019;67:953

How to cite this URL:
Samanta R, Katoch D. Lipemia retinalis in an infant. Indian J Ophthalmol [serial online] 2019 [cited 2020 Jun 1];67:953. Available from: http://www.ijo.in/text.asp?2019/67/6/953/259033

A two-month-old male infant presented with increased frequency of stools. Birth and development history were normal. General physical examination revealed hepatomegaly, mild splenomegaly, and loss of subcutaneous fat over the glutei. Fundus examination showed white retinal vessels in both eyes, typical of lipemia retinalis [Figure 1]a and [Figure 1]b.[1],[2] Family history was unremarkable. Laboratory studies showed markedly elevated serum triglycerides (17,000 mg/dl), total cholesterol (858 mg/dl), low high-density lipoprotein (8.7mg/dl) with normal amylase and lipase. A possible diagnosis of type V hyperlipoproteinemia was kept. Fundus changes reversed in four weeks with addition of medium chain triglycerides to the feeds [Figure 1]c and [Figure 1]d.
Figure 1: Fundus examination (Retcam; Clarity MSI, Pleasanton, Calif) of the right and left eyes showing whitish appearance of retinal vessels (black arrow), suggestive of lipemia retinalis (a and b). Normal appearance of retinal vessels (white arrow) are noted following decrease in serum triglyceride level after 4 weeks (c and d)

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

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Conflicts of interest

There are no conflicts of interest.

  References Top

Zahavi A, Snir M, Kella YR. Lipemia retinalis: Case report and review of the literature. J AAPOS2013; 17:110-1.  Back to cited text no. 1
Ozdemir M, Bay A, Yasar T, Cinal A. A newborn with lipemia retinalis. Ophthalmic Surg Lasers Imaging 2003; 34:221-2.  Back to cited text no. 2


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