Brown-McLean syndrome occurring in a corneal graft.
OBJECTIVE
To present a case of Brown-McLean syndrome occurring in a transplanted cornea.


METHODS
Retrospective case report.


RESULTS
A patient had penetrating keratoplasty performed for bullous keratopathy 6 years after intracapsular cataract extraction in the right eye. She developed atypical Brown-McLean syndrome in the left eye 6 years after extracapsular cataract extraction with pupil-support intraocular lens (IOL) insertion and later IOL removal. The clear corneal graft in the right eye developed peripheral stromal and epithelial edema with pigmentation of the endothelium, consistent with Brown-McLean syndrome 9 years after keratoplasty.


CONCLUSIONS
Brown-McLean syndrome can occur in a grafted cornea, although the features may differ from those seen in ungrafted corneas.
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Department of Ophthalmology, W.K. Kellogg Eye Center, University of Michigan Medical School, Ann Arbor 48105, USA.
D000368:Aged; D002387:Cataract Extraction; D003316:Corneal Diseases / Q000601:surgery; D015715:Corneal Edema / Q000175:diagnosis / Q000209:etiology*; D003319:Corneal Stroma / Q000473:pathology*; D004728:Endothelium, Corneal / Q000473:pathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015948:Keratoplasty, Penetrating / Q000009:adverse effects; D010857:Pigment Epithelium of Eye / Q000473:pathology*; D012189:Retrospective Studies; D013577:Syndrome