title: Exceptionally elevated triglyceride in severe lipemia retinalis.
abstract: OBJECTIVE
  To report a case of successful treatment for severe lipemia retinalis with extreme severe hypertriglyceridemia (sHTG).
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  A 6-week-old infant with severe lipemia retinalis manifested diffuse creamy retinal vessels complicated with vulvar xanthomas. Extreme sHTG with 185-folds of the normal level was reported. Chromosome microarray and lipid gene sequencing confirmed a homozygous lipoprotein lipase gene coding mutation.
  
  
  RESULTS
  Under strict adherence to a high medium-chain triglycerides formula and discontinuation of breast milk, the lipemia retinalis and vulval lesions resolved along with a stable plasma lipid level throughout the follow-up period of 6 months.
  
  
  CONCLUSIONS
  Strict adherence to a low-fat diet without breast milk appears to be effective in treating infants with severe lipemia retinalis associated with exceptionally high triglycerides.
authors: Wayne State University, School of Medicine, Detroit, MI; Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine; Ocular Surface Center, Miami.
authors: Han Y
authors: HY
authors: Yin
authors: Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine; Division of Pediatric Ophthalmology, Nicklaus Children's Hospital, Miami, FL, USA.
authors: Roberto
authors: R
authors: Warman
authors: Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine.
authors: Edward H
authors: EH
authors: Suh
authors: Department of Ophthalmology, Florida International University, Herbert Wertheim College of Medicine; Ocular Surface Center, Miami.
authors: Anny Ms
authors: AM
authors: Cheng
keywords: hypertriglyceride; infant; lipemia retinalis; lipoprotein lipase gene