Case ReportMULTICOLOR SCANNING LASER IMAGING IN LIPEMIA RETINALISRivera-De La Parra, David MD, FICO*,†; Perez-Peralta, Liliana OD*,†; Toldi, Jim DO‡; Levine, Jason MD§; Fikhman, Michael MD¶; Graue-Hernandez, Enrique O. MD, MSc†Author Information *Centro de atención integral del paciente con diabetes, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico; †Instituto de Oftalmología “Fundación Conde de Valenciana” I.A.P., Mexico City, Mexico; ‡Florida State University College of Medicine, Bonita Springs, Florida; §Arizona Eye Consultants, Tucson, Arizona; and ¶Jules Stein Eye Institute, University of California Los Angeles, Los Angeles, California. Reprint requests: David Rivera-De La Parra, MD, FICO, Avenida Vasco de Quiroga No.15, Colonia Belisario Domínguez Sección XVI, Delegación Tlalpan C.P.14080, Donato Alarcón Bulding, First Floor, Room-200, México Distrito Federal, MEXICO; e-mail: [email protected] None of the authors has any financial/conflicting interests to disclose. Retinal Cases & Brief Reports: Winter 2017 - Volume 11 - Issue - p S132-S135 doi: 10.1097/ICB.0000000000000469 Buy Metrics AbstractIn Brief Purpose: To describe multicolor scanning laser imaging (MSLI) and conventional fundus photography findings in lipemia retinalis (LR). Methods: We report two LR cases. The first case is a 47-year-old diabetic woman with LR secondary to familial hypertriglyceridemia examined with MSLI, conventional fundus photography, and optical coherence tomography (OCT). The second case is a 39-year-old diabetic man with hypertriglyceridemia and LR. He was followed over time with conventional fundus photography of his retina until metabolic control was achieved. Results: In the first case, MSLI showed retinal arteries with an intense yellow and retinal veins with a pale yellow color. Fundus photography disclosed only mild pale red vessels. Optical coherence tomography detected macular edema and hyperreflective changes of retinal vessels. In the second case, fundus photography showed vessels with a pale red appearance that normalized after metabolic control of triglycerides. Conclusion: We described the retinal findings in patients with LR using different image modalities. Specifically, we report the findings with MSLI not previously described. While regular fundus photography may show mild changes in LR, the MSLI modality may show more significant findings assisting in the diagnosis and follow-up of this disease. The authors describe that multicolor scanning laser imaging provides information about vascular abnormalities in cases of lipemia retinalis. We propose that this system may provide a novel diagnostic and follow-up tool.