• Jon Ortiz de Salido-Menchaca, Manuel Antonio Tazón-Varela, David de la Hera-Vegas, Rosa Herreras-Martínez, Sergio Andrés Álvarez-Agudelo, and Nuria Arencibia-Hernández.
• Hospital de Laredo, Servicio de Urgencias. Cantabria, España. Hospital de Laredo Servicio de Urgencias Cantabria España.
• Colomb Medica. 2021 Mar 30; 52 (1): e7024059.

Case DescriptionCase of lipemia retinalis secondary to hyperchylomicronemia in a 40-year-old man with a history of total body irradiation and immunosuppressive treatment that was attended in this hospital due to decreased visual acuity and abdominal pain.Clinical FindingsHyperchylomicronemia caused the development of acute pancreatitis and lipemia retinalis. The latter is an infrequent ocular manifestation that reflects excessive triglyceride blood levels in the organism (>2,000 mg/dL). Lipemia retinalis is characterized by the accumulation of chylomicrons in the retinal vessels, which gives them a white and creamy appearance in direct retinal ophthalmoscopy. The initial clinical suspicion of hyperchylomicronemia was based on the visualization of the supernatant in the analytical tube.Treatment And ResultIn the absence of definitive biochemical results, and owing to the need for special processing of the sample, lipid-lowering treatment and serum therapy were established after ophthalmological confirmation of lipemia retinalis, with subsequent full recovery of visual acuity.Clinical RelevanceGiven the initial difficulty to determine the accurate triglyceride levels in this kind of patient, early visualization of milky-colored retinal vessels on a salmon-colored eye fundus can help develop an early clinical suspicion of severe hyperchylomicronemia and contribute to limit the severity of complications.Copyright © 2021 Colombia Medica.

15 keywords...

hide…