PDF(Pubmed)
Abstract：
BACKGROUND: Generally, there is no lipoprotein in aqueous humor, and chyle usually exists transiently in the body. Therefore, persistent chylous aqueous humor is rare.
METHODS: We report a case of a 39-year-old man with persistent milky white appearance over the right eye.
METHODS: The patient had a history of poorly controlled diabetes for the past 2 years and central retinal vein occlusion of the same eye for the past 2 weeks. The patient\'s right eye had a uniform milky appearance in the anterior chamber, transparent cornea, and no keratic precipitate in the posterior cornea. Color Doppler ultrasound of the affected eye showed no obvious inflammation in the vitreous cavity. Laboratory tests revealed severe chylemia. The patient was finally diagnosed as chylous aqueous humor.
RESULTS: After conventional hypolipidemia and hypoglycemia treatment and locally glucocorticoid treatment. The milky white changes in the anterior chamber improved considerably and finally disappeared.
CONCLUSIONS: Although the impact of hyperlipidemia on the cardiovascular system and digestive system is well known, its impact on the eyes is often overlooked. We report a rare case of unilateral chylous aqueous humor caused by hyperlipidemia. Through the analysis of this special case, we recommend that ophthalmologists should pay attention to the impact of blood lipid change on eyes.
METHODS: We report a case of a 39-year-old man with persistent milky white appearance over the right eye.
METHODS: The patient had a history of poorly controlled diabetes for the past 2 years and central retinal vein occlusion of the same eye for the past 2 weeks. The patient\'s right eye had a uniform milky appearance in the anterior chamber, transparent cornea, and no keratic precipitate in the posterior cornea. Color Doppler ultrasound of the affected eye showed no obvious inflammation in the vitreous cavity. Laboratory tests revealed severe chylemia. The patient was finally diagnosed as chylous aqueous humor.
RESULTS: After conventional hypolipidemia and hypoglycemia treatment and locally glucocorticoid treatment. The milky white changes in the anterior chamber improved considerably and finally disappeared.
CONCLUSIONS: Although the impact of hyperlipidemia on the cardiovascular system and digestive system is well known, its impact on the eyes is often overlooked. We report a rare case of unilateral chylous aqueous humor caused by hyperlipidemia. Through the analysis of this special case, we recommend that ophthalmologists should pay attention to the impact of blood lipid change on eyes.
摘要：
背景：一般来说，房水没有脂蛋白,乳酪通常在体内短暂存在。因此,持续性乳糜性房水是罕见的。
方法：我们报告一例39岁的男性，右眼上有持续的乳白色外观。
方法：患者在过去2年有糖尿病控制不佳的病史，在过去2周内有同一只眼睛的视网膜中央静脉阻塞。患者的右眼前房有均匀的乳状外观，透明角膜,角膜后部无角膜沉淀。患眼彩色多普勒超声显示玻璃体腔内无明显炎症。实验室检查显示严重的乳糜血症。患者最终被诊断为乳糜房水。
结果：经过常规低脂血症和低血糖治疗以及局部糖皮质激素治疗。前房乳白色的变化明显改善，最后消失。
结论：尽管高脂血症对心血管系统和消化系统的影响是众所周知的，它对眼睛的影响往往被忽视。我们报告了一例罕见的由高脂血症引起的单侧乳糜房水。通过对这种特殊情况的分析,我们建议眼科医生注意血脂变化对眼睛的影响。
方法：我们报告一例39岁的男性，右眼上有持续的乳白色外观。
方法：患者在过去2年有糖尿病控制不佳的病史，在过去2周内有同一只眼睛的视网膜中央静脉阻塞。患者的右眼前房有均匀的乳状外观，透明角膜,角膜后部无角膜沉淀。患眼彩色多普勒超声显示玻璃体腔内无明显炎症。实验室检查显示严重的乳糜血症。患者最终被诊断为乳糜房水。
结果：经过常规低脂血症和低血糖治疗以及局部糖皮质激素治疗。前房乳白色的变化明显改善，最后消失。
结论：尽管高脂血症对心血管系统和消化系统的影响是众所周知的，它对眼睛的影响往往被忽视。我们报告了一例罕见的由高脂血症引起的单侧乳糜房水。通过对这种特殊情况的分析,我们建议眼科医生注意血脂变化对眼睛的影响。
