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Inicio Archivos de la Sociedad Española de Oftalmología (English Edition) Anterior stromal puncture for the treatment of Brown–McLean syndrome
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Vol. 88. Issue 5.
Pages 193-196 (May 2013)
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Vol. 88. Issue 5.
Pages 193-196 (May 2013)
Short communication
Anterior stromal puncture for the treatment of Brown–McLean syndrome
Micropunción estromal anterior como tratamiento del síndrome de Brown–McLean
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P. Rodríguez-Ausín
Corresponding author
pazrausin@telefonica.net

Corresponding author.
, K. Pachkoria
Clínica Oftalmológica Suárez Leoz, Madrid, Spain
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Abstract
Case report

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.

Discussion

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.

Keywords:
Peripheral corneal edema
Anterior stromal puncture
Bullous keratopathy
Brown–McLean syndrome
Keratoplasty
Resumen

El síndrome Brown–McLean consiste en la presencia de edema corneal periférico respetando la córnea central. Presentamos un paciente con queratopatia bullosa anular años después de facoemulsificación e implante de lente en cámara posterior. Su agudeza visual espontánea y corregida era 20/30 y precisaba lente de contacto blanda para aliviar molestias desde hacía 5 años. Practicamos micropunción estromal anterior con cistitomo, y en 2 semanas las molestias desaparecieron y no precisa porte de lente blanda. La micropunción estromal es un procedimiento simple que se realiza en lámpara de hendidura y que puede eliminar la sintomatología del síndrome de Brown–McLean.

Palabras clave:
Edema corneal periférico
Punción estromal anterior
Queratopatía bullosa
Síndrome de Brown–McLean
Queratoplastia

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