本文详细报告了一例非常罕见的视网膜脂血症病例,其特点包括显著升高的血清甘油三酯和总胆固醇水平,以及双眼视网膜血管呈乳白色的特征性变化。采用降血脂药物和低脂饮食治疗一周后,患者的眼底检查和实验室检测结果显示明显好转,其矫正...本文详细报告了一例非常罕见的视网膜脂血症病例,其特点包括显著升高的血清甘油三酯和总胆固醇水平,以及双眼视网膜血管呈乳白色的特征性变化。采用降血脂药物和低脂饮食治疗一周后,患者的眼底检查和实验室检测结果显示明显好转,其矫正视力和血脂水平恢复正常。该病例突显了正确诊断和综合治疗对视网膜脂血症患者康复的重要性。结合此病例,本文对视网膜脂血症的临床特点、诊断和鉴别诊断以及治疗进行文献综述,为临床医师提供参考。This article reports a rare case of lipemia retinalis characterized by significantly increased serum triglyceride and total cholesterol levels as well as the characteristic whitish discoloration of the retinal vessels. After one week of treatment with lipid-lowering medication and a low-fat diet, the patient exhibited significant improvements in fundus examination and laboratory tests, with both corrected visual acuity and blood lipid levels returning to normal. This case highlights the importance of accurate diagnosis and comprehensive treatment for the recovery of patients with lipemia retinalis. In addition to this case report, the article provides a literature review on the clinical features, diagnosis, differential diagnosis, and treatment of lipemia retinalis, serving as a reference for clinicians.展开更多
文摘本文详细报告了一例非常罕见的视网膜脂血症病例,其特点包括显著升高的血清甘油三酯和总胆固醇水平,以及双眼视网膜血管呈乳白色的特征性变化。采用降血脂药物和低脂饮食治疗一周后,患者的眼底检查和实验室检测结果显示明显好转,其矫正视力和血脂水平恢复正常。该病例突显了正确诊断和综合治疗对视网膜脂血症患者康复的重要性。结合此病例,本文对视网膜脂血症的临床特点、诊断和鉴别诊断以及治疗进行文献综述,为临床医师提供参考。This article reports a rare case of lipemia retinalis characterized by significantly increased serum triglyceride and total cholesterol levels as well as the characteristic whitish discoloration of the retinal vessels. After one week of treatment with lipid-lowering medication and a low-fat diet, the patient exhibited significant improvements in fundus examination and laboratory tests, with both corrected visual acuity and blood lipid levels returning to normal. This case highlights the importance of accurate diagnosis and comprehensive treatment for the recovery of patients with lipemia retinalis. In addition to this case report, the article provides a literature review on the clinical features, diagnosis, differential diagnosis, and treatment of lipemia retinalis, serving as a reference for clinicians.
