Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

31 December 2008

Complete recovery of lipemia retinalis with visual loss after early plasmapheresis

Eva Stifter, Hans Domanovits, Saskia Maca, Talin Barisani-Asenbauer

Am J Case Rep 2008; 9:435-438 :: ID: 869531

Abstract

Background: To report a case of severe hypertriglyceridemia-induced bilateral lipemia retinalis with visual loss, whose striking fundus abnormalities completely resolved with visual recovery after two-times plasmapheresis.
Case Report: A 27-year-old female without prior ocular diseases but chronic alcohol abuse reported about proceeding bilateral visual loss for more than 4 months. Best corrected visual acuity was 0.2 on both eyes (equivalent to Snellen 20/100). Fundus biomicroscopy revealed bilateral lipemia retinalis of both the retinal veins and arteries. Optical coherence tomography was normal. Blood examination revealed a severe hypertriglyceridemia of 16442 mg/dl and hypercholesterolemia of 1799 mg/dl. All hepatic parameters were extremely elevated (gGT: 5351 U/l). The patient was transferred for early plasmapheresis to the medical department. One week after the second plasmapheresis, the patient reported significant visual recovery and the best-corrected visual acuity was 0.8 on both eyes (equivalent to Snellen 20/25). At serum triglyceride levels <200 mg/dl, lipemia retinalis had completely resolved. At a special low-fat diet and no alcohol consumption, the patient needed no statine therapy, but had to stay under continuous observation.
Conclusions: Plasmapheresis combined with low-fat diet and abstinence from alcohol was effective for treatment of a severe hypertriglyceridemia-induced bilateral lipemia retinalis with visual loss, whose exacerbation was caused by chronic alcohol abuse.

Keywords: lipaemia, retinal disease, hypertrigliceridemia, Plasmapheresis

Comments

SARS-CoV-2/COVID-19

19 May 2022 : Case report  Serbia

Bilateral Emphysematous Pyelonephritis Associated with COVID Pneumonia: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936370  

17 May 2022 : Case report  USA

High-Frequency Oscillatory Ventilation for Refractory Hypoxemia in Severe COVID-19 Pneumonia: A Small Case ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936651  

13 May 2022 : Case report  Japan

A case of exacerbation of haloperidol-induced rhabdomyolysis following the onset of COVID-19

Am J Case Rep In Press; DOI: 10.12659/AJCR.936589  

13 May 2022 : Case report  USA

Acute Disseminated Encephalomyelitis After SARS-CoV-2 Vaccination

Am J Case Rep In Press; DOI: 10.12659/AJCR.936574  

In Press

23 May 2022 : Case report  Switzerland

Pharmacological and Behavioral Strategies to Improve Vision in Acquired Pendular Nystagmus

Am J Case Rep In Press; DOI: 10.12659/AJCR.935148  

23 May 2022 : Case report  USA

A Case of Methicillin-Sensitive Staphylococcus aureus (MSSA) Prostate Abscess, Osteomyelitis, and Myositis ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.936704  

23 May 2022 : Case report  USA

Adalimumab Mitigates Lumbar Radiculopathy in a Case of Ankylosing Spondylitis

Am J Case Rep In Press; DOI: 10.12659/AJCR.936600  

20 May 2022 : Case report  Canada

Diagnostic Puzzle of Acute Ischemic Stroke Mimics – Seizure Versus Post-Stroke Recrudescence: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.936826  

Most Viewed Current Articles

23 Feb 2022 : Case report  USA

Penile Necrosis Associated with Local Intravenous Injection of Cocaine

DOI :10.12659/AJCR.935250

Am J Case Rep 2022; 23:e935250

17 Feb 2022 : Case report  Oman

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of P...

DOI :10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

06 Dec 2021 : Case report  Brazil

Lipedema Can Be Treated Non-Surgically: A Report of 5 Cases

DOI :10.12659/AJCR.934406

Am J Case Rep 2021; 22:e934406

19 Feb 2022 : Case report  USA

A Rare Case of Coronavirus Disease 2019 Vaccine-Associated Cerebral Venous Sinus Thrombosis Treated with Me...

DOI :10.12659/AJCR.935355

Am J Case Rep 2022; 23:e935355

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923