Acne Rosacea Eye Ocular | Dermatology Education Acne Rosacea Eye Ocular Video
December 04, 2021

Dermnet Videos

Acne Rosacea Eye Ocular

Subtype 4: Ocular rosacea

Ocular complications often occur in patients with rosacea, and can be severe enough to require corneal replacement. Ocular rosacea is most frequently diagnosed when cutaneous signs and symptoms of rosacea are also present. However ocular signs and symptoms may occur before cutaneous manifestations in up to 20% of patients with ocular rosacea.

The diagnosis of ocular rosacea should be considered when a patient’s eyes have one or more of the following signs and symptoms: watery or bloodshot appearance, foreign body sensation, burning or stinging, dryness, itching, light sensitivity, blurred vision, telangiectases of the conjunctiva and lid margin, or lid and periocular erythema. Blepharitis, conjunctivitis, and irregularity of the eyelid margins also may occur.

Meibomian gland dysfunction presenting as chalazion or chronic staphylococcal infection as manifested by hordeolum or stye are common signs of rosacea-related ocular disease.

Some patients may have decreased visual acuity caused by corneal complications.