Electrophysiological changes in lipaemia retinalis

Chao Kung Lu, Shih Jen Chen, Dau Ming Niu, Chia Chen Tsai, Fenq Lih Lee, Wen Ming Hsu

研究成果: 雜誌貢獻文章同行評審

23 引文 斯高帕斯(Scopus)


PURPOSE: To report the electrophysiologic findings in a patient with lipaemia retinalis. DESIGN: Observational case report. METHODS: An 11-year-old girl with diabetes had hyperlipidemia and presented for ophthalmologic consultation. Fundus examinations revealed milky discoloration of retinal vessels in both eyes. Laboratory testing disclosed hyperglycemia and markedly elevated level of triglycerides and cholesterol. Although the visual acuity was not affected, the electroretinograms showed decrease amplitudes of a- and b-wave in both cone and rod responses. RESULTS: After correction of blood sugar and lipids with insulin and diet control, the lipaemia retinalis resolved, and the impaired ERG response reversed within 1 week. CONCLUSIONS: Lipaemia retinalis usually resolves rapidly without visual impairment after correction of hyperlipidemia. The reversible deficits of electroretinogram response in lipaemia retinalis are reported for the first time. High level of triglycerides or cholesterol or both may impair retinal function. The mechanism of an impaired electroretinogram remained speculative.

頁(從 - 到)1142-1145
期刊American Journal of Ophthalmology
出版狀態已發佈 - 6月 2005

ASJC Scopus subject areas

  • 眼科


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