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Lipemia retinalis after alcohol abuse

Published:March 31, 2022DOI:https://doi.org/10.1016/j.jcjo.2022.02.019
      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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