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Dive into the research topics where Sharon S. Lehman is active.

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Featured researches published by Sharon S. Lehman.


Pediatrics | 1997

Screening Examination of Premature Infants for Retinopathy of Prematurity

Walter M. Fierson; Richard A. Saunders; William V. Good; Earl A. Palmer; Dale L. Phelps; James D. Reynolds; Michael F. Chiang; James B. Ruben; David B. Granet; Richard J. Blocker; Geoffrey E. Bradford; Daniel J. Karr; Gregg T. Lueder; Sharon S. Lehman; R. Michael Siatkowski

This statement revises a previous statement on screening of preterm infants for retinopathy of prematurity (ROP) that was published in 2006. ROP is a pathologic process that occurs only in immature retinal tissue and can progress to a tractional retinal detachment, which can result in functional or complete blindness. Use of peripheral retinal ablative therapy by using laser photocoagulation for nearly 2 decades has resulted in a high probability of markedly decreasing the incidence of this poor visual outcome, but the sequential nature of ROP creates a requirement that at-risk preterm infants be examined at proper times and intervals to detect the changes of ROP before they become permanently destructive. This statement presents the attributes on which an effective program for detecting and treating ROP could be based, including the timing of initial examination and subsequent reexamination intervals.


Pediatrics | 2012

Instrument-based pediatric vision screening policy statement.

James B. Ruben; David B. Granet; Richard J. Blocker; Geoffrey E. Bradford; Daniel J. Karr; Gregg T. Lueder; Sharon S. Lehman; R. Michael Siatkowski; Lawrence D. Hammer; Graham A. Barden; Oscar W. Brown; Edward S. Curry; James J. Laughlin; Herschel R. Lessin; Chadwick T. Rodgers; Geoffrey R. Simon

A policy statement describing the use of automated vision screening technology (instrument-based vision screening) is presented. Screening for amblyogenic refractive error with instrument-based screening is not dependent on behavioral responses of children, as when visual acuity is measured. Instrument-based screening is quick, requires minimal cooperation of the child, and is especially useful in the preverbal, preliterate, or developmentally delayed child. Children younger than 4 years can benefit from instrument-based screening, and visual acuity testing can be used reliably in older children. Adoption of this new technology is highly dependent on third-party payment policies, which could present a significant barrier to adoption.


Pediatrics | 2009

Joint statement - Learning disabilities, dyslexia, and vision

Gregg T. Lueder; James B. Ruben; Richard J. Blocker; David B. Granet; Daniel J. Karr; Sharon S. Lehman; Sebastian J. Troia; George S. Ellis; Christie L. Morse; Michael X. Repka; Kyle Arnoldi; Sheryl M. Handler; Walter M. Fierson; Linda Lipinsky; Nancy A. Murphy; Robert Burke; Larry W. Desch; John C. Duby; Ellen Roy Elias; Susan E. Levy; Gregory S. Liptak; Douglas McNeal; Scott M. Myers; Kenneth W. Norwood; Paul J. Sagerman; Paul H. Lipkin; Stephanie Mucha Skipper

Learning disabilities, including reading disabilities, are commonly diagnosed in children. Their etiologies are multifactorial, reflecting genetic influences and dysfunction of brain systems. Learning disabilities are complex problems that require complex solutions. Early recognition and referral to qualified educational professionals for evidence-based evaluations and treatments seem necessary to achieve the best possible outcome. Most experts believe that dyslexia is a language-based disorder. Vision problems can interfere with the process of learning; however, vision problems are not the cause of primary dyslexia or learning disabilities. Scientific evidence does not support the efficacy of eye exercises, behavioral vision therapy, or special tinted filters or lenses for improving the long-term educational performance in these complex pediatric neurocognitive conditions. Diagnostic and treatment approaches that lack scientific evidence of efficacy, including eye exercises, behavioral vision therapy, or special tinted filters or lenses, are not endorsed and should not be recommended.


Current Opinion in Ophthalmology | 2010

Update on retinopathy of prematurity: treatment options and outcomes.

Jonathan H. Salvin; Sharon S. Lehman; Jing Jin; Dorothy Hendricks

Purpose of review To evaluate and review the recent scientific literature on retinopathy of prematurity (ROP). Recent studies have shown advancement in treatment options in ROP as well as improved functional and structural outcomes. This review compiles some of these recent findings. Recent findings New guidelines on ROP screening and treatment criteria have recently been developed and are now the standard of care for practitioners taking care of children having ROP. Recent advances in antiangiogenic therapies offer possible primary or adjunct treatment to the well established and effective laser treatment options. Follow-up of treated ROP patients informs us of the short-term and long-term complications requiring lifetime ophthalmology care. Summary This review offers an update on the screening and treatment guidelines, new treatment options, and short-term and long-term complications in ROP.


Clinical Pediatrics | 1999

Long-term Ocular Complication of Stevens-Johnson Syndrome

Sharon S. Lehman

long-term ocular complication. Scarring may lead to adhesions between the lid and globe (symblepharon) and lower eyelid culde-sac shortening. Scarring leading to conjunctival cysts and granular changes in the conjunctiva result in discomfort and conjunctival injection. Discomfort and dryness are both causes for reflex tearing. Narrowing of the tear duct opening (punctal stenosis) secondary to scarring may add to tear overflow or epiphora. Initial lid lash loss caused by inflammatory changes is often followed by regrowth of misdirected lashes (trichiasis). Lid malposition secondary to symblepharon and culde-sac shortening may lead to exposure of the cornea and in-turning of the lid (entropion). These are the most common long-


Current Opinion in Ophthalmology | 2006

Strabismus in craniosynostosis.

Sharon S. Lehman

Purpose of review To present peer-reviewed articles related to strabismus in craniosynostosis. Recent findings Improved neurosurgical treatment has resulted in amblyopia replacing optic atrophy as the main cause of visual impairment in Aperts and Crouzon syndromes. Patients with nonsyndromic craniosynostosis have an increased incidence of significant refractive error and horizontal strabismus similar to syndromic craniosynostosis. Imaging of the orbit and extraocular muscles continues to be recommended as helpful for presurgical planning. Surgical techniques continue to be explored in order to improve outcomes for craniosynostosis patients. Summary Attention to diagnosis and treatment of amblyopia and strabismus is necessary to preserve vision in craniosynostosis patients. Orbital imaging may aid in planning for these patients whose strabismus surgery remains a challenge.


Journal of Aapos | 1999

An uncommon cause of ophthalmia neonatorum: Neisseria meningitidis☆☆☆

Sharon S. Lehman

Ophthalmia neonatorum is defined as conjunctivitis appearing during the first month of life. The differential diagnosis includes chemical, bacterial, viral, and other pathogens, including Neisseria gonorrhoeae, herpes simplex, and Chlamydia trachomatis. Neisseria meningitidis is not commonly specifically included in the differential.


Archives of Otolaryngology-head & Neck Surgery | 2010

Ophthalmologic Disorders in Children With Syndromic and Nonsyndromic Hearing Loss

Douglas R. Johnston; Joseph Curry; Brian Newborough; Thierry Morlet; Louis Bartoshesky; Sharon S. Lehman; Sara Ennis; Robert C. O'Reilly

OBJECTIVE To determine the rate of ophthalmologic anomalies among patients with syndromic and nonsyndromic, congenital sensorineural hearing loss (SNHL) to assess the need for comprehensive ophthalmologic evaluation in these children. DESIGN Retrospective medical chart review of children with SNHL who underwent comprehensive evaluation by pediatric ophthalmologists and geneticists. SETTING Tertiary care pediatric hospital. PATIENTS Seventy-seven patients with SNHL. MAIN OUTCOME MEASURES Degree of hearing loss (HL) and presence of ophthalmologic and genetic disorders. RESULTS The overall rate of ophthalmologic disorders was 32% (25 of 77 patients). When children with multisystem genetic disorders known to be related to visual loss were excluded, the rate fell to 23% (12 of 53 vs 13 of 24; P = .006). There was no statistically significant difference in the degree of HL between patients with and without eye disorders (mean [SD], 46.5 [29.9] vs 49.1 [32.3] dB HL; P = .75). Patients with eye disorders were significantly more likely to have a multisystem genetic disorder (13 of 25 [52%] vs 11 of 52 [21%]; P = .006). No patients with ocular abnormalities had isolated otologic disorders, but 9 of 52 (17%) of those patients without ocular abnormalities did. CONCLUSIONS Comprehensive ophthalmologic examination revealed a rate of ophthalmologic disorders in children with SNHL in the lower end of the previously reported rates of 31% to 61%. Children with nonsyndromic SNHL have an approximately 2- to 3-fold increase in ocular abnormalities compared with the general pediatric population. Ophthalmologic and genetic consultations are warranted in patients with congenital SNHL.


Clinical Pediatrics | 1992

Anisometropic Amblyopia: An Easily Overlooked Cause of Visual Loss in Children

Sharon S. Lehman; Joseph J. Kubacki

Anisometropic amblyopia is a unilateral visual-acuity reduction secondary to suppression of a constantly blurred image in the eye with the greater uncorrected refractive error. The refractive error may be farsightedness (hyperopia), nearsightedness (myopia), and/or irregular curvature of the cornea (astigmatism). Children with anisometropic amblyopia have good visual acuity in one eye and usually have straight eyes. These factors, combined with peekingfrom under the occluder by the child during visual screening, may allow monocular reduced visual acuity to go undetected. Delay in diagnosis and treatment may result in an irreversible decrease in visual acuity. Other types of amblyopia will be discussed. Two cases are presented to illustrate these points. Suggestions for refining and improving basic screening technique will be made.


Journal of Aapos | 2005

Risk factors for amblyopia in congenital anterior lens opacities.

Doğan Ceyhan; Bruce Schnall; Anita Breckenridge; J. Fontanarosa; Sharon S. Lehman; Joseph Calhoun

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Dorothy Hendricks

Alfred I. duPont Hospital for Children

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Gregg T. Lueder

Washington University in St. Louis

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Jing Jin

Alfred I. duPont Hospital for Children

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Jonathan H. Salvin

Alfred I. duPont Hospital for Children

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Amanda M. Friess

Alfred I. duPont Hospital for Children

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