Lipemia Retinalis

A patient with past ocular history of nonproliferative diabetic retinopathy presented for routine examination to retina clinic. Patient had no vision concerns nor any systemic symptoms on review of systems. On examination, patient found to have cream colored large calibre vessels diffusely in both eyes. On further evaluation, patient revealed a history of elevated triglycerides as well as pancreatitis due to same finding. An OCT demonstrated hyperreflective spots consistent with exam findings and leading to diagnosis of lipemia retinalis. Fundus autofluorescence and fluorescein angiogram to rule out other etiologies were within normal limits. Patient was referred to PCP for further evaluation of triglyceride exacerbation and to be started on correct treatment regimen. Patient scheduled for follow-up in retina clinic in a few weeks to ensure improvement once triglyceride levels improved.

Presentation Date: 12/08/2022

Issue Date: 12/30/2022