Rosacea: An Introduction

Ocular Rosacea

Ocular rosacea symptoms and involvement may antedate skin involvement.

In one study, 20% of patients with rosacea presented first with ocular involvement, 53% of patients developed skin lesions before eye findings appeared, and the eye and skin findings were simultaneous in 27%.

Ocular findings are grouped as either minor or major.

Non-sight-threatening minor complications are more common.

One study cites ocular complications of rosacea in 58% of patients and corneal involvement specifically in 33%.

Ocular rosacea symptoms most commonly begin with foreign body sensation, pain, and burning.

The latter is a particularly common symptom.

Ocular signs include:

  • lid margin telangiectasias (broken capillaries)
  • chronic blepharitis
  • meibomitis
  • chalazia
  • papillary conjunctivitis
  • superficial punctate keratopathy
  • corneal infiltrates and ulcerative keratitis
  • episcleritis
  • scleritis
  • iritis and
  • vitritis

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