Rosacea Can Also Affect The Eyes

Ocular Rosacea is an inflammatory eye condition often associated with rosacea. Ocular rosacea can cause a persistent burning or gritty feeling in the eyes. Ocular rosacea may also manifest itself as inflamed and swollen eyelids with small-inflamed bumps, eyelashes that may fall out, compounded by bloodshot eyes. The most frequent signs of ocular rosacea, which may never progress to a more severe condition, are chronically inflamed margins of the eyelids with scales and crusts; quite similar to seborrheic dermatitis, with which ocular rosacea is often confused. Pain and light sensitivity may also be present. The ocular complications of rosacea are independent of the severity of facial rosacea.

Treatment of ocular rosacea requires a highly motivated patient. A dermatologist treats the direct impact of rosacea on the skin but is not trained in the treatment of rosacea involving the eyes. An ophthalmologist specializes in the treatment of eye conditions does not always link this to a co-coordinating treatment for rosacea manifestations of the skin. With regard to ocular rosacea, treatment usually consists of lid hygiene measures, such as daily cleansing with cotton-tipped applicators (Q-tips). This entails cleansing the bases of the lashes with a moistened Q-tip to remove debris and oily secretions. Some ophthalmologists advocate cleansing with diluted baby shampoo, while others believe that plain water is best. In treating your ocular rosacea it is beneficial to include in your diet three servings per week from the Omega-3 supplements. These essential fatty supplements aid in an overall balanced diet as well as easing the discomfort of ocular rosacea.

Dry, red eyes characterize ocular rosacea. It can occur in isolation or as part of generalized rosacea, says Alan Shalita, M.D., distinguished teaching professor and chair in the department of dermatology at SUNY Downstate Medical Center, Brooklyn, New York. "I have stayed away from treating the condition with steroids because of a rebound phenomenon. The use of steroids can make things worse, particularly if patients have used topical steroids over the long term," Dr. Shalita tells Dermatology Times.