[Skip to Content]
[Skip to Content Landing]
Article
March 1990

Retinal Findings in the Fat Overload Syndrome

Author Affiliations

USA; USA; USA; Aurora, Colo

Arch Ophthalmol. 1990;108(3):329. doi:10.1001/archopht.1990.01070050027012
Abstract

Parenteral hyperalimentation using lipid is considered an effective and relatively safe method of delivering essential nutrients to patients unable to tolerate enteral feedings. Although the fat overload syndrome is a well-recognized complication of intravenous lipid therapy, its ocular manifestations have not been previously described, to our knowledge.1-3

Report of a Case.  —A 38-year-old Hispanic man was admitted to a community hospital with fever, cough, wheezing, and a lung infiltrate. He was initially treated with bronchodilators, antibiotics, and supplemental oxygen. On the second hospital day parenteral hyperalimentation, which included a 20% fat emulsion infusion (Liposyn II, Abbott Laboratories, Chicago, Ill) was initiated. During the next 5 days the patient was iatrogenically lipid overloaded, receiving 11L of 20% Liposyn II (6.2 g of fat per kilogram of body weight per day). The maximum recommended dosage of Liposyn II is 3.0 g of fat per kilogram of body weight per day. During

First Page Preview View Large
First page PDF preview
First page PDF preview
×