| Sumario: | Background: High cholesterol impacts blood vesssels in every part of the body. Lipemia retinalis is a rare retinal presentation of severe hypertriglyceridemia (usually greater than 2000 mg/dl), resulting in a creamy-white discoloration of retinal blood vessels. The following case presents a pediatric case of lipemia retinalis. Case Report: A 15-year-old Hispanic female presented for an annual diabetic eye exam. She reported that her vision had been blurry OU since she lost her glasses. Her medical history included type 2 DM, diagnosed 1 year prior. Her last blood glucose was 208 mg/dL, and she did not know her HbA1c. Her medications included metformin and insulin. DFE revealed creamy-white colored arteries and veins in both eyes and a salmon-colored fundus, but no evidence of diabetic retinopathy. OCT showed increased signal in the blood vessel lumens. Her lab work showed total cholesterol of 1328 mg/dL and triglycerides of 7337 mg/ dL. The PCP started the patient on a low-fat diet, antitryglyceride, and anticholesteral medication. Conclusion: Visual sequelae associated with lipemia retinalis is rare, as most patients are visually asymptomatic. There is no treatment for the lipemia retinalis itself, other than managing the underlying systemic metabolic pathologies. Coordination with the primary care physician is required.
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