Alburayk Khalid, Alotaibi Hammam A, AlSomali Abdulaziz I
Ophthalmology Department, Ministry of Health, Saudi Arabia.
Ophthalmology Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Am J Ophthalmol Case Rep. 2023 Sep 15;32:101928. doi: 10.1016/j.ajoc.2023.101928. eCollection 2023 Dec.
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.
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.
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.
Ophthalmology, Pediatrics, Transplantation.
布朗-麦克林综合征（BMS）于1969年由布朗和麦克林首次记录。迄今为止，BMS通常主要描述为与白内障相关的并发症，并且它与长期无晶状体状态有着千丝万缕的联系。我们的目的是报告一例描述在周边虹膜切除术通畅的情况下BMS独特关联的病例。
一名35岁男性，已知患有先天性青光眼，有双侧小梁切除术病史，多年来视力轻度进行性模糊，前来我们诊所就诊。检查时，患者双眼有晶状体，周边角膜360度水肿，中央角膜未受累，有内皮色素沉着，眼科检查其他方面稳定，双眼周边虹膜切除术通畅。他的右眼裸眼视力为20/20，左眼为20/30，眼压正常。我们的计划是开局部用药并安排他定期随访。在最后一次随访时，我们的患者报告视力没有改善，也没有临床改善的迹象。
该例BMS表明，这种疾病在接受眼内手术的有晶状体患者中虽很少见但仍有发生的可能性。周边虹膜切除术的预防作用也值得怀疑。
眼科、儿科学、移植学。
