This 28YO female presented with bilateral symmetric creamy colored blood vessels (only left eye shown). Triglycerides were markedly elevated above 1000.
The vascular appearance normalized 4 months following systemic treatment with a relatively normal triglyceride level of 189.
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 vision is normal. However, they are at obvious cardiovascular risk without systemic treatment.
