Publications by authors named "Leon-Paul Noel"

Background: Excessive, sometimes unnecessary consultation challenges the ophthalmology resident's ability to obtain adequate rest and personal time while taking at-home calls. Basic training of nonophthalmologists in assessing and treating common ophthalmic emergencies offers a potential solution to this problem by providing primary caregivers the knowledge base, tools, and confidence to manage them independently.

Objective: We measured ophthalmic consultation requests at a large teaching institution and the impact of an educational intervention on the number and type of requests.

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Purpose: To describe the ocular findings in a series of children with spontaneous resolution of primary congenital glaucoma (PCG).

Methods: The medical records of 356 patients with PCG were reviewed. Nine patients with spontaneous resolution of PCG were studied.

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Purpose: To establish child abuse as part of the differential diagnosis of isolated bilateral subconjunctival hemorrhages in infants.

Methods: To review three cases of nonaccident trauma initially presenting with isolated bilateral subconjunctival hemorrhages as the only significant clinical finding.

Results: Ophthalmic examination in cases 1 and 2 were entirely normal except for the large bilateral subconjunctival hemorrhages.

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Purpose: To report clinical data, including etiology and visual outcome, in newborns requiring vitrectomy for dense vitreous hemorrhage.

Methods: In this retrospective case series, we surveyed subscribers to the American Association for Pediatric Ophthalmology and Strabismus ListServe regarding patients under their care.

Results: A total of 28 eyes of 21 patients were included.

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Background: The extreme clinical case-to-case variability of aniridia, even within families, can cause difficulties in making the correct diagnosis, prognosis and treatment plan. We describe seven patients from two families demonstrating variable expression of this syndrome, all with the same single point mutation within the PAX6 gene.

Methods: Case presentations.

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Purpose: To investigate the accuracy of the Welch Allyn SureSight (WASS; Welch Allyn, Skaneateles Falls, New York) hand-held autorefractor in noncyclopleged children and to compare the results with those obtained in cyclopleged children using the Nidek AR-820 (NAR; Nidek, Aichi, Japan) and retinoscopic refraction (RR) of an experienced pediatric ophthalmologist.

Methods: Ninety-one children (mean age 97 months +/- 19, range 37 to 107) whose vision screening, performed by a school nurse and/or by their primary care provider, was unsuccessful were prospectively evaluated in the private practice of a university pediatric ophthalmologist. After completion of a history, each child was refracted using the WASS.

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Purpose: To report the first documented case of intrauterine transmission of West Nile virus (WNV) with resulting congenital chorioretinal scarring and central nervous system malformation in a newborn.

Design: Case report.

Methods: Ophthalmic findings and laboratory data in an otherwise presumed healthy 2-day-old female are presented.

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