This 47YO female presented with bilateral symmetric creamy colored blood vessels.
Her lipid panel results were: Cholesterol 1039, Triglyceride 821, HDL 7, and LDL too high to measure.
She was immediately referred for medical management of her previously undiagnosed hyperlipidemia.
Learning Points:
Lipemia retinalis is a rare retinal manifestation of severe hypertriglyceridemia, characterized by creamy white discoloration of the retinal vasculature. In severe cases, the fundus can turn salmon-colored.
Patients are asymptomatic and have normal vision. However, they are at obvious cardiovascular risk without systemic treatment.
