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June 1966

Retinal Manifestations in Hyperlipemia of Alcoholic Origin

Author Affiliations

Brooklyn, NY
From the Gastrointestinal Section, Brooklyn Veterans Administration Outpatient Clinic, Brooklyn, NY.

Arch Ophthalmol. 1966;75(6):750-751. doi:10.1001/archopht.1966.00970050752006

An excess of blood lipids can occur in many conditions, such as alcoholism, starvation, phosphorus poisoning, and asphyxia. Its ocular manifestation, however, in the form of lipemia retinalis are rare, especially so in diseases other than severe diabetic ketosis in which it has been chiefly recorded.1,2

This report concerns a patient with hyperlipemia and lipemia retinalis provoked by an inordinately large consumption of alcohol of at least several months' duration.

Report of a Case  A 54-year-old Negro male auto mechanic developed epigastric soreness, upper abdominal swelling, frequent belching, and mild constipation three days prior to his visit. His bowel movements had been variable for the preceding three weeks, as was habitual with this patient after immoderate drinking. He admitted to an intake of approximately one pint of whiskey daily for several months' time. His appetite was poor, and little food was taken. Diabetes mellitus had been present for 14

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