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Article
September 1943

LIPAEMIA RETINALIS: REPORT OF A CASE

Author Affiliations

ANN ARBOR, MICH.

Arch Ophthalmol. 1943;30(3):358-361. doi:10.1001/archopht.1943.00880210082008
Abstract

Lipaemia retinalis is of sufficient rarity to warrant the contribution of this report to the medical literature. A careful survey indicates that the case is the sixty-second to be reported since Heyl's1 original article, published in 1880.

Lipaemia retinalis, with 2 exceptions, has appeared in cases of diabetes mellitus and has been accompanied by a state of acidosis. The majority of the patients were either in or on the verge of coma when first seen. The condition is predominantly a disease of young diabetic patients, rarely being found in patients over 30.

An increase in plasma lipid is associated with a large variety of clinical entities : pneumonia, peritonitis, alcoholism, phosphorus poisoning, asphyxia, starvation, xanthomatosis, carcinoma, tuberculosis and trench nephritis. It is only in diabetes mellitus, as a rule, that the plasma lipid becomes emulsified in sufficient quantity to be seen in the blood stream with the aid of the

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