We report a 48-year-old male with bilateral visual acuity impairment after excessive
alcohol abuse the previous day. He had a known history of hepatic steatosis. On fundoscopy,
posterior pole vessels appeared milky and tortuous with salmon color of the retina
(Fig. 1A, B). The analysis showed triglycerides at 8230 mg/dL (normal: 30–200 mg/dL). The fundus
findings and visual acuity resolved after treatment with fibrates and diet. (Fig. 1C, D). Lipemia retinalis with findings this severe is usually seen if the triglyceride
level is higher than 5000 mg/dL. This condition can lead to brain and heart strokes,
atherosclerosis, and pancreatitis, and should therefore be treated as an emergency.
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Article Info
Publication History
Published online: March 31, 2022
Accepted:
February 25,
2022
Received in revised form:
February 16,
2022
Received:
January 24,
2022
Identification
Copyright
© 2022 Canadian Ophthalmological Society. Published by Elsevier Inc. All rights reserved.
