International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 2, Issue 12 | Case Report | Open Access

A Rare Presentation of Lipemia Retinalis in Child- A Case Report

Sheetal V Girimallanavar*

Associate Professor, Ophthalmology, MS, DNB, VIMS & RC, Bengaluru, Karnataka, India

*Correspondence to: Sheetal V Girimallanavar 

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Abstract

Lipemia Retinalis is a rare manifestation of hypertriglyceridemia manifested by abnormal appearance of the retinal arteries and veins, and occasionally the entire fundus.

CASE REPORT: A 1 year 9 months old child presented with abdominal pain , loose stools associated with passage of blood once in every 2 month with no history of familial hyperlipidemia in paediatrics OPD.

Relevent investigations were sent and reported to be normal. USG abdomen was done and reported as hepatosplenomegaly. Blood samples noted to be lipemic. Whole genome sequencing was done and turned to be positive.

An ophthalmological examination was conducted, and both eyes' anterior segment were found to be normal. A fundus examination revealed bilaterally tortuous dilated milky white retinal blood vessels, salmon pink retinal background, and pale optic discs with peripapillary atrophy, all of which were suggestive of lipemia retinalis.

CONCLUSION: Patients with lipemia retinalis are more likely to experience acute myocardial infarction and cardiovascular accidents due to their increased serum lipid levels. There may also be retinal

vascular disorders, such as occlusions of the retinal arteries and veins. Neovascularization and vitreous bleeding can result from ischemia brought on by vascular occlusions.

Keywords:

Lipemia retinalis, Hypertriglyceridemia ,Hyperlipidemia

Citation:

Sheetal V Girimallanavar, Greeshma krishna Reddy, Dakshayini. A Rare Presentation of Lipemia Retinalis in Child- A Case Report. Int Clinc Med Case Rep Jour. 2023;2 (12):1-4.