Delhi Journal of Ophthalmology

Lipemia Retinalis in a 25-day Old Neonate: A case report

Santosh Kumar Mahapatra, Anuja Mohanty
J.P.M. Rotary Eye Hospital and Research Institute, Cuttack, Odisha, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Anuja Mohanty (DNB)
Department of Vitreo-Retina,
JPM Rotary Eye Hospital & Research Institute,Sector-6, CDA, Cuttack, Odisha, India 
E-mail: anujamhnt@gmail.com


Received: 21-MAR-2020 Accepted: 31-MAR-2020 Published Online: 09-OCT-2020
DOI: https://dx.doi.org/10.7869/djo.575

Abstract
A 25-day old neonate  presented with complaints of greenish black stools. It was a full term LSCS delivery born of a non-consanguineous marriage. There was no history of any oxygenation/phototherapy. Birth weight was 3.5  kg and the baby had cried after birth. She was exclusively breastfed. On evaluation she had high blood levels of cholesterol and triglycerides suggesting a diagnosis of type IIb hyperlipidemia (familial combined hyperlipidemia). She was referred by paediatrician for ophthalmic examination. Funduscopy showed a manifestation of grade III lipemia retinalis. Physical examination revealed hepatosplenomegaly on per abdomen. She was treated with antibiotics, i.v fluids and dietary modifications. The blood reports of both parents showed lipoproteinemia and hypercholesterolemia.

Keywords :Lipemia retinalis, hypertriglyceridemia, creamy white serum, neonate, funduscopy