BROWN MCLEAN SYNDROME POST CONGENITAL GLAUCOMA SURGERY, CASE REPORT AND LITERATURE REVIEW

To the best of our knowledge, we presented the first reported case in the literature of Brown-McLean syndrome in a patient following congenital glaucoma surgery in a Phakic patient in which we are reporting Atypical presentation of Brown McLean syndrome and to provide our experience of treatment of such presentation.

This paper is a case documentation of BMS in a phakic patient with glaucoma following congenital glaucoma surgery in phakic eyes. To the best of our knowledge, we presented the first reported case in the literature of Brown-McLean syndrome in a patient following congenital glaucoma surgery. The literature is also reviewed, and this presented case is discussed in the context of the published literature.

   This is a retrospective and descriptive case report

Our patient is 35 years old male known case of congenital glaucoma which made him underwent trabeculectomy of both eyes presenting to our clinic with long history of mild progressive blurriness of vision since years. Upon examination, there was bilateral phakic patient with bilateral 360 degree of peripheral corneal edema sparing the center of cornea with endothelial pigmentation and otherwise stable ophthalmic examination. His uncorrected visual acuity was 20/20 of the right eye and 20/30 of left eye with normal intraocular pressure.

 

Anterior segment optical coherence tomography showing increased corneal thickness with bilateral Descemet membrane scroll.

 

Our patient currently needs no further intervention as he is maintaining good visual acuity and he is a symptomatic

Brown Mclean syndrome is an exceedingly rare finding in cases post cataract surgery. The literature has multiple case reports and case series documenting the different associations with this disease; such associations are variable in nature as discussed herein. This case of a phakic glaucoma patient developing BMS after congenital glaucoma surgery is the first in the published literature and demonstrates the importance of being aware of the potential of such disease developing albeit rarely in phakic patients undergoing intraocular surgery.