Brown-McLean syndrome secondary keratoconus

Abstract Background Brown-McLean Syndrome is a rare clinical condition typically presenting as localized edema involving a 2–3 mm peripheral area of the cornea, which often has undergone intraocular surgery. Case report We present a unique case of unilateral Brown-McLean Syndrome (BMS) with concurre...

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Main Authors: Qi Wan, Li Chen, Ran Wei, Ying-ping Deng, Ke Ma, Jing Tang
Format: Article
Language:English
Published: BMC 2025-02-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-025-03885-4
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author Qi Wan
Li Chen
Ran Wei
Ying-ping Deng
Ke Ma
Jing Tang
author_facet Qi Wan
Li Chen
Ran Wei
Ying-ping Deng
Ke Ma
Jing Tang
author_sort Qi Wan
collection DOAJ
description Abstract Background Brown-McLean Syndrome is a rare clinical condition typically presenting as localized edema involving a 2–3 mm peripheral area of the cornea, which often has undergone intraocular surgery. Case report We present a unique case of unilateral Brown-McLean Syndrome (BMS) with concurrent keratoconus in an 18-year-old male patient. The individual sought medical attention due to poor vision in the right eye, which had been unnoticed for a month. Notably, there was no history of ocular surgery or trauma, and the patient did not suffer from any systemic diseases. Clinical examination revealed peripheral corneal edema, extending 2–4 mm from the limbus, exclusively affecting the right eye. Corneal topography indicated the presence of keratoconus, which was an incidental finding during the investigation. Conclusions This case underscores the importance of considering BMS in the differential diagnosis of peripheral corneal edema even in the absence of ocular surgery or trauma. The potential relationship between BMS and keratoconus is explored, suggesting that long-term edema and degeneration of the peripheral cornea could alter its biomechanical properties, leading to deformation and keratoconus. Thorough clinical evaluation and long-term follow-up are crucial in managing such patients.
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spelling doaj-art-682a618ab1074ac694640dc31f8a50e32025-02-09T12:26:19ZengBMCBMC Ophthalmology1471-24152025-02-012511510.1186/s12886-025-03885-4Brown-McLean syndrome secondary keratoconusQi Wan0Li Chen1Ran Wei2Ying-ping Deng3Ke Ma4Jing Tang5Department of Ophthalmology, West China Hospital of Sichuan UniversityDepartment of Ophthalmology, West China Hospital of Sichuan UniversityDepartment of Ophthalmology, West China Hospital of Sichuan UniversityDepartment of Ophthalmology, West China Hospital of Sichuan UniversityDepartment of Ophthalmology, West China Hospital of Sichuan UniversityDepartment of Ophthalmology, West China Hospital of Sichuan UniversityAbstract Background Brown-McLean Syndrome is a rare clinical condition typically presenting as localized edema involving a 2–3 mm peripheral area of the cornea, which often has undergone intraocular surgery. Case report We present a unique case of unilateral Brown-McLean Syndrome (BMS) with concurrent keratoconus in an 18-year-old male patient. The individual sought medical attention due to poor vision in the right eye, which had been unnoticed for a month. Notably, there was no history of ocular surgery or trauma, and the patient did not suffer from any systemic diseases. Clinical examination revealed peripheral corneal edema, extending 2–4 mm from the limbus, exclusively affecting the right eye. Corneal topography indicated the presence of keratoconus, which was an incidental finding during the investigation. Conclusions This case underscores the importance of considering BMS in the differential diagnosis of peripheral corneal edema even in the absence of ocular surgery or trauma. The potential relationship between BMS and keratoconus is explored, suggesting that long-term edema and degeneration of the peripheral cornea could alter its biomechanical properties, leading to deformation and keratoconus. Thorough clinical evaluation and long-term follow-up are crucial in managing such patients.https://doi.org/10.1186/s12886-025-03885-4Brown-McLean SyndromePeripheral edemaCase reportKeratoconus
spellingShingle Qi Wan
Li Chen
Ran Wei
Ying-ping Deng
Ke Ma
Jing Tang
Brown-McLean syndrome secondary keratoconus
BMC Ophthalmology
Brown-McLean Syndrome
Peripheral edema
Case report
Keratoconus
title Brown-McLean syndrome secondary keratoconus
title_full Brown-McLean syndrome secondary keratoconus
title_fullStr Brown-McLean syndrome secondary keratoconus
title_full_unstemmed Brown-McLean syndrome secondary keratoconus
title_short Brown-McLean syndrome secondary keratoconus
title_sort brown mclean syndrome secondary keratoconus
topic Brown-McLean Syndrome
Peripheral edema
Case report
Keratoconus
url https://doi.org/10.1186/s12886-025-03885-4
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