Case Report: Lipemia Retinalis in a 15-Year-Old.
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 pediatri...
| Publicado en: | Optometry & Visual Performance Vol. 11; no. 4; pp. 234 - 238 |
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| Autores principales: | , , |
| Formato: | case study diagnostic images pictorial tables/charts Journal Article |
| Publicado: |
Optometric Extension Program
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=174829582&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 174829582 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23253479 HOOW jtl: Optometry & Visual Performance issn: 23253479 maglogo: N pubinfo: dt: Dec2023 vid: 11 iid: 4 pid: 46881 pub: Optometric Extension Program place: Lutherville Timonium, Maryland artinfo: ui: 174829582 174829582 174829582 174829582 ppf: 234 ppct: 4 formats: tig: atl: Case Report: Lipemia Retinalis in a 15-Year-Old. aug: au: Prattas, Vassiliki Borgman, Christopher J. Taub, Marc B. affil: Nova Southeastern College of Optometry - Davie, Florida sug: subj: Retinal Diseases Diagnosis Retinal Diseases Etiology Retinal Vein Pathology Retinal Artery Pathology Hyperlipidemia Complications Female Adolescence Diabetic Patients Diabetes Mellitus, Type 2 Tomography, Optical Coherence Retinal Diseases Symptoms Rare Diseases Cholesterol Blood Triglycerides Blood Diet, Fat-Restricted Hyperlipidemia Drug Therapy Hyperlipidemia Diet Therapy Treatment Outcomes Adolescent: 13-18 years Female ab: 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. pubtype: Academic Journal doctype: case study diagnostic images pictorial tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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