Article Text

PDF

White retinal vessels
  1. N Akritidis,
  2. E Galiatsou,
  3. K Paparounas
  1. Department of Internal Medicine, Hatzikosta General Hospital of Ioannina, Greece
  1. Correspondence to:
 Dr K Paparounas
 Department of Internal Medicine, Hatzikosta General Hospital, 45001 Ioannina, Greece; kostpapotenet.gr

Statistics from Altmetric.com

A 69 year old woman with a history of diabetes mellitus presented with acute abdominal pain, nausea, and vomiting. Clinical, laboratory, and radiological findings were consistent with a diagnosis of acute pancreatitis. Fundus examination showed a milky-white discoloration of some blood retinal vessels in both eyes (fig 1). This ophthalmoscopic appearance, termed lipaemia retinalis, is an unusual retinal manifestation of hypertriglyceridaemia and occurs only in pronounced raised concentrations of serum triglycerides.1 Our patient had a triglyceride concentration of 82.64 mmol/l (reference <2.03 mmol/l). She made an uneventful recovery, and one week after admission triglycerides decreased to 6.17 mmol/l while the creamy-white appearance of retinal vessels reverted to normal.

Figure 1

 Fundus photograph showing cream coloured retinal blood vessels attributable to lipaemia retinalis. Vessels with normal reddish hue and other with mixed red and creamy-white appearance are also evident.

REFERENCE

View Abstract

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Self assessment answers
    The Fellowship of Postgraduate Medicine