Newborn Lipemia Retinalis Resolved with Exchange Transfusion

Authors

  • Gabriel Rodríguez Vargas Ophthamologist, Hospital de Guapiles, Costa Rica
  • Leslie Arguello Cruz Chief Ophthalmologist, Hospital Nacional de Niños, Costa Rica

DOI:

https://doi.org/10.48560/rspo.24886

Keywords:

Exchange Transfusion, Whole Blood, Hyperlipidemias/complications, Hyperlipoproteinemia Type I/diagnosis, Hyperlipoproteinemia Type I/therapy, Infant, Retinal Diseases/diagnosis, Retinal Diseases/therapy

Abstract

The purpose of this study was to report the case of a newborn with lipemia retinalis and the clinical evolution after treatment.

RetCam fundus photographs were taken before and after treatment with exchange transfusion and fat restriction diet.

A 1 month and 25 days old female with a history of 3 days irritability with bilateral leukocoria and a creamy pale blood sample was treated for primary hyperlipidemia. After treatment, symptoms resolved, leukocoria disappeared and fundus exam appearance became normal.

Lipemia retinalis in the newborn can fully resolve with appropriate systemic treatment.

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References

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Fu V, Scanga HL, Medsinge A, Nischal KK. Improved visual function with dietary intervention in a child with lipemia retinalis. J AAPOS. 2014;18:488-90. doi: 10.1016/j.jaapos.2014.05.004.

Kavey RE, Allada V, Daniels SR, Hayman LL, McCrindle BW, Newburger JW, et al. Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the American Heart Association Expert Panel on Population and Prevention Science; the Councils on Cardiovascular Disease in the Young, Epidemiology and Prevention, Nutrition, Physical Activity and Metabolism, High Blood Pressure Research, Cardiovascular Nursing, and the Kidney in Heart Disease; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. J Cardiovasc Nurs. 2007;22:218-53. doi: 10.1097/01.JCN.0000267827.50320.85.

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Published

2022-06-30

How to Cite

Rodríguez Vargas, G., & Arguello Cruz, L. (2022). Newborn Lipemia Retinalis Resolved with Exchange Transfusion. Revista Sociedade Portuguesa De Oftalmologia, 46(2), 120–122. https://doi.org/10.48560/rspo.24886

Issue

Vol. 46 No. 2 (2022)

Section

Shot Communications and Images in Ophthalmology

License

Copyright (c) 2022 Revista Sociedade Portuguesa de Oftalmologia

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