Brown-McLean syndrome has been reported as a late complication, usually occurring 6 to 16 years after intracapsular and extracapsular cataract extractions.1-3 To our knowledge, our patient's onset of symptoms 34 years after cataract extraction represents the longest interval between cataract surgery and development of symptoms due to Brown-McLean syndrome.
Report of a Case.
—A 52-year-old man presented complaining of a foreign body sensation in his right eye. He had undergone an intracapsular lens extraction 34 years previously for a traumatic cataract of the right eye. Best corrected visual acuity was 20/25 OU. Slit-lamp examination of the right eye revealed peripheral epithelial and stromal corneal edema with a central clear zone (4 mm horizontally and 6 mm vertically) (Fig 1) and orange pigmentation along the endothelial surface of the involved areas (Fig 2). There was a large superior sector iridectomy; the anterior hyaloid face was intact. The left eye was
Lim JI, Lam S, Sugar J. Brown-McLean Syndrome. Arch Ophthalmol. 1991;109(1):22–23. doi:10.1001/archopht.1991.01080010024016