MULTICOLOR SCANNING LASER IMAGING IN LIPEMIA RETINALIS.
OBJECTIVE
To describe multicolor scanning laser imaging (MSLI) and conventional fundus photography findings in lipemia retinalis (LR).


METHODS
We report two LR cases. The first case is a 47-year-old diabetic woman with LR secondary to familial hypertriglyceridemia examined with MSLI, conventional fundus photography, and optical coherence tomography (OCT). The second case is a 39-year-old diabetic man with hypertriglyceridemia and LR. He was followed over time with conventional fundus photography of his retina until metabolic control was achieved.


RESULTS
In the first case, MSLI showed retinal arteries with an intense yellow and retinal veins with a pale yellow color. Fundus photography disclosed only mild pale red vessels. Optical coherence tomography detected macular edema and hyperreflective changes of retinal vessels. In the second case, fundus photography showed vessels with a pale red appearance that normalized after metabolic control of triglycerides.


CONCLUSIONS
We described the retinal findings in patients with LR using different image modalities. Specifically, we report the findings with MSLI not previously described. While regular fundus photography may show mild changes in LR, the MSLI modality may show more significant findings assisting in the diagnosis and follow-up of this disease.
*Centro de atención integral del paciente con diabetes, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; †Instituto de Oftalmología "Fundación Conde de Valenciana" I.A.P., Mexico City, Mexico; ‡Florida State University College of Medicine, Bonita Springs, Florida; §Arizona Eye Consultants, Tucson, Arizona; and ¶Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California.
David
D
Rivera-De La Parra
Liliana
L
Perez-Peralta
Jim
J
Toldi
Jason
J
Levine
Michael
M
Fikhman
Enrique O
EO
Graue-Hernandez
D000328:Adult; D003930:Diabetic Retinopathy / Q000150:complications*; D003941:Diagnostic Techniques, Ophthalmological; D005260:Female; D006801:Humans; D008269:Macular Edema / Q000000981:diagnostic imaging; D008297:Male; D018613:Microscopy, Confocal / Q000379:methods*; D008875:Middle Aged; D012164:Retinal Diseases / Q000000981:diagnostic imaging*