Barry D. Kels

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Ocular and cutaneous stigmata are hallmarks of the heritable disorders of collagen and elastic tissue. Awareness of the oculocutaneous features is essential both to aid diagnosis and to direct management of affected patients. Although the angioid streaks of PXE, blue sclerae of OI, ocular fragility of EDS and ectopia lentis of Marfan syndrome are the(More)
Glaucoma affected the ability to detect low-contrast, flickering patterns ('DRC' measurement). DRC patterns were foveally viewed, of low spatial frequency, and flickering at 8 hertz. Interocular comparisons were performed in control subjects, in ocular hypertensives, and in glaucoma patients with asymmetric damage. Interocular differences in DRC tended to(More)
A 32-year-old man with pigmentary dispersion syndrome had blurred vision and halos after strenuous exercise, associated with a release of pigment into the anterior chamber and increased intraocular pressure (IOP). Additionally, he had typical symptoms after emotional stress or exposure to dim illumination, and had a high IOP without angle closure during a(More)
This article describes several melanocytic lesions of the eye. Benign and malignant lesions will be discussed as well as a review of the dysplastic nevus syndrome and its proposed association with ocular melanoma. Ocular melanomas arise from the same embryologically derived melanocytes as their cutaneous counterparts. However, ocular and cutaneous melanomas(More)
We review the normal anatomy of the human globe, eyelids, and lacrimal system. This contribution explores both the form and function of numerous anatomic features of the human ocular system, which are vital to a comprehensive understanding of the pathophysiology of many oculocutaneous diseases. The review concludes with a reference glossary of selective(More)
By using a continuous wave argon laser in a multiburn fashion, successful iridectomies were achieved in 42 out of 45 phakic eyes with either acute or chronic angle-closure glaucoma. Five of the successful procedures required multiple sittings on different days or abandonment of the primary treatment site in favor of an alternate site, or both, to attain(More)
Protein issues confront the dermatologic practitioner in this last decade of the twentieth century, including 1) the role of managed care; 2) the decline of direct access to the specialist; 3) malpractice liability and the need for reform; 4) declining reimbursements in the face of escalating practice overhead; and 5) conflict between the individual's right(More)