Coordinating eye and primary medical care in a low-income and uninsured population: the experience of the Vision of Hope Health Alliance.

Purpose: The Vision of Hope Health Alliance (VOHHA) was developed to provide an integrated system of eye and primary medical services to low-income and uninsured patients who were referred from nonmedical and medical agencies.

Methods: Partnerships were formed to facilitate patient referrals. Eye examinations and ophthalmic materials were provided at no cost to patients.

Ocular manifestations of Donohue's syndrome.

Introduction: Donohue's syndrome, also known as Leprechaunism, is a rare autosomal recessive disease that manifests at birth with symptoms of endocrine dysfunction. Metabolic characteristics of the disease include postprandial hyperglycemia, fasting hypoglycemia, insulin resistance, hyperinsulinemia, and failure to thrive. The physical features most often associated with this condition include hypertrichosis, pachyderma, acanthosis nigricans, prominent genitalia, and elfin-like facial characteristics of prominent eyes, wide nostrils, thick lips, and large, low-set ears.