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Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review

PURPOSE: Brown-McLean Syndrome (BMS) was first documented by Brown and McLean in 1969. To date, BMS is typically described in primarily cataract-related complications, and it is inextricably associated with long-term aphakia. Our purpose is to report a case that describes a unique association of BMS...

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Autores principales: Alburayk, Khalid, Alotaibi, Hammam A., AlSomali, Abdulaziz I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523185/
https://www.ncbi.nlm.nih.gov/pubmed/37771389
http://dx.doi.org/10.1016/j.ajoc.2023.101928
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author Alburayk, Khalid
Alotaibi, Hammam A.
AlSomali, Abdulaziz I.
author_facet Alburayk, Khalid
Alotaibi, Hammam A.
AlSomali, Abdulaziz I.
author_sort Alburayk, Khalid
collection PubMed
description PURPOSE: Brown-McLean Syndrome (BMS) was first documented by Brown and McLean in 1969. To date, BMS is typically described in primarily cataract-related complications, and it is inextricably associated with long-term aphakia. Our purpose is to report a case that describes a unique association of BMS in the presence of patent peripheral iridectomy. OBSERVATION: A 35-year-old male known case of congenital glaucoma who has a history of bilateral trabeculectomy, presented to our clinic with a long history of mild progressive blurriness of vision for years. Upon examination, the patient was bilaterally phakic, with bilateral 360-degree of peripheral corneal edema sparing the center of the cornea with endothelial pigmentation and bilateral patent peripheral iridectomy in an otherwise stable ophthalmic examination. His uncorrected visual acuity was 20/20 in the right eye and 20/30 in the left eye with normal intraocular pressure. Our plan was to prescribe topical medications and schedule him for regular follow-up. At the last follow-up, our patient reported no improvement in his vision, and there were no signs of clinical improvement. CONCLUSION AND IMPORTANCE: This case of BMS demonstrates the importance of the potential of such a disease to develop, albeit rarely, in phakic patients who are undergoing intraocular surgery. The preventive role of PI is also questionable. CATEGORIES: Ophthalmology, Pediatrics, Transplantation.
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spelling pubmed-105231852023-09-28 Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review Alburayk, Khalid Alotaibi, Hammam A. AlSomali, Abdulaziz I. Am J Ophthalmol Case Rep Case Report PURPOSE: Brown-McLean Syndrome (BMS) was first documented by Brown and McLean in 1969. To date, BMS is typically described in primarily cataract-related complications, and it is inextricably associated with long-term aphakia. Our purpose is to report a case that describes a unique association of BMS in the presence of patent peripheral iridectomy. OBSERVATION: A 35-year-old male known case of congenital glaucoma who has a history of bilateral trabeculectomy, presented to our clinic with a long history of mild progressive blurriness of vision for years. Upon examination, the patient was bilaterally phakic, with bilateral 360-degree of peripheral corneal edema sparing the center of the cornea with endothelial pigmentation and bilateral patent peripheral iridectomy in an otherwise stable ophthalmic examination. His uncorrected visual acuity was 20/20 in the right eye and 20/30 in the left eye with normal intraocular pressure. Our plan was to prescribe topical medications and schedule him for regular follow-up. At the last follow-up, our patient reported no improvement in his vision, and there were no signs of clinical improvement. CONCLUSION AND IMPORTANCE: This case of BMS demonstrates the importance of the potential of such a disease to develop, albeit rarely, in phakic patients who are undergoing intraocular surgery. The preventive role of PI is also questionable. CATEGORIES: Ophthalmology, Pediatrics, Transplantation. Elsevier 2023-09-15 /pmc/articles/PMC10523185/ /pubmed/37771389 http://dx.doi.org/10.1016/j.ajoc.2023.101928 Text en © 2023 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Alburayk, Khalid
Alotaibi, Hammam A.
AlSomali, Abdulaziz I.
Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review
title Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review
title_full Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review
title_fullStr Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review
title_full_unstemmed Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review
title_short Brown McLean syndrome after congenital glaucoma surgery, unique case report and a literature review
title_sort brown mclean syndrome after congenital glaucoma surgery, unique case report and a literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10523185/
https://www.ncbi.nlm.nih.gov/pubmed/37771389
http://dx.doi.org/10.1016/j.ajoc.2023.101928
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