Brown Mclean Syndrome After Congenital Glaucoma Surgery Unique Case Report And A Literature Review.

To report a unique case with our experience and to provide our experience of treatment of such presentation.

   This is a prospective and descriptive case report.

Our patient is a 35 years old male with unremarkable past social or familyhistory, known case of congenital glaucoma who underwent trabeculectomy during 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 ophthal mic examination. His uncorrected visual acuity was 20/20 in the right eye and 20/30 in the left eye with normal intraocular pressure. Both eyes are shown (Figure 1). Anterior segment optical coherence tomography using MS-39 machine showed increased corneal thickness with bilateral Descemet's membrane scrolling. (Figure 2). A diagnosis of Brown McLean Syndrome was established, and up to last follow up, our plan was to prescribe topical steroid and topical sodium chloride 5%, and schedule him for regular follow up, subsequent keratoplasty may be amenable in cases of persistent symptoms.

Brown-Mclean syndrome is an exceedingly rare finding in cases following 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 reported case of BMS is the first in the published literature and demonstrate the importance of being aware of the potential of such a disease developing, albeit rarely, in phakic patients undergoing intraocular surgery.