title: Anterior stromal puncture for the treatment of Brown-McLean syndrome.
abstract: METHODS
  The Brown-McLean syndrome is defined by peripheral corneal edema sparing the central cornea. We report a patient with bullous annular keratopathy following phacoemulsification and implantation of posterior chamber intraocular lens. The uncorrected and best corrected visual acuity was 20/30. The patient required the use of a bandage contact lens for almost 5 years to relieve the ocular discomfort.
  
  
  CONCLUSIONS
  Anterior stromal puncture was performed using a cystotome. Two weeks after the procedure the ocular discomfort disappeared and the use of bandage contact lens was no longer required. Anterior stromal puncture is a simple procedure that is performed under the slit lamp, and can alleviate the symptoms in patients with Brown-McLean syndrome.
authors.affiliation: Clínica Oftalmológica Suárez Leoz, Madrid, Spain. pazrausin@telefonica.net
authors.forename: P
authors.initials: P
authors.lastname: Rodríguez-Ausín
authors.forename: K
authors.initials: K
authors.lastname: Pachkoria
mesh_terms: D000368:Aged; D015715:Corneal Edema / Q000601:surgery*; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011677:Punctures / Q000379:methods*