RESUMO
Lipemia retinalis is an unusual ocular finding associated with hypertriglyceridemia. We report the case of an infant treated for retinopathy of prematurity who later developed lipemia retinalis, with triglyceride levels of 4736 mg/dl. There was a paradoxical worsening of hypertriglyceridemia with the use of medium chain triglyceride supplement. On discontinuing the supplement, the triglycerides level drastically dropped, and retinal vasculature returned to a normal hue.
Assuntos
Dieta Hiperlipídica/efeitos adversos , Hipertrigliceridemia/etiologia , Fotocoagulação a Laser , Doenças Retinianas/etiologia , Retinopatia da Prematuridade/cirurgia , Triglicerídeos/efeitos adversos , Feminino , Alimentos Formulados , Humanos , Hipertrigliceridemia/diagnóstico , Alimentos Infantis , Recém-Nascido , Doenças Retinianas/diagnóstico , Vasos Retinianos/patologiaRESUMO
OBJECTIVE: To report a case of toxic anterior uveitis probably secondary to the use of topical podophyllum. DESIGN: Case report, interventional. METHODS: The authors present a 78-year-old male with acute anterior uveitis that developed within a couple of hours of application of topical podophyllum. In vivo confocal microscopy showed unique findings that disappeared following treatment with topical steroids alone. The patient reapplied podophyllum 2 months later and a recurrence of uveitis was noted. RESULTS: A score of 7 was obtained using the adverse drug reaction probability scale, suggesting that the anterior uveitis is a probable adverse reaction to topical podophyllum. CONCLUSIONS: Anterior uveitis may occur after topical application of podophyllum.