title: Cataract surgery in a patient with Brown-McLean syndrome.
abstract: The Brown-McLean syndrome is defined by corneal edema that involves the peripheral 2.0 to 3.0 mm of cornea, sparing the central cornea. This syndrome is usually associated with previous cataract surgery but has been reported rarely in patients with other predisposing factors such as angle-closure glaucoma or spontaneous lens absorption with iridodonesis. We describe the clinical course of a 50-year-old man with myotonic dystrophy who had Brown-McLean syndrome with no identifiable predisposition for peripheral corneal edema. Although this syndrome appears to be the result of peripheral endothelial dysfunction, this patient was able to tolerate cataract extraction without developing central corneal edema.
authors.affiliation: Department of Ophthalmology, University of Maryland, Baltimore, 21201, USA. arutzen@umaryland.edu
authors.forename: A R
authors.initials: AR
authors.lastname: Rutzen
authors.forename: A
authors.initials: A
authors.lastname: Deen
authors.forename: A J
authors.initials: AJ
authors.lastname: Epstein
authors.forename: M J
authors.initials: MJ
authors.lastname: Maldonado
authors.forename: R K
authors.initials: RK
authors.lastname: Hemady
mesh_terms: D002386:Cataract / Q000150:complications*; D015715:Corneal Edema / Q000150:complications*; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D009223:Myotonic Dystrophy / Q000150:complications; D018918:Phacoemulsification; D013577:Syndrome; D016896:Treatment Outcome; D014792:Visual Acuity