Ocular rosacea is an eye manifestation of rosacea that affects the eyelids and ocular surface, while skin rosacea involves facial skin. Many patients have both, but eye symptoms may appear before or without obvious skin changes.
Skin Rosacea
Cutaneous rosacea typically causes facial flushing, persistent redness, visible blood vessels, and sometimes acne‑like bumps on the cheeks, nose, chin, and forehead. Triggers include heat, alcohol, spicy foods, and stress.
- Managed with topical or oral medications and trigger avoidance
- Can lead to thickening of nasal skin (rhinophyma) in some cases
- Visible on the skin surface, making it easier to recognise
- Dermatology input is often central to management
Ocular Rosacea
Ocular rosacea affects the eyelids, tear film, and surface of the eye, causing redness, burning, grittiness, and recurrent styes or chalazia. In more severe cases it can inflame the cornea and threaten vision.
- Often associated with meibomian gland dysfunction and blepharitis
- May be present even when facial signs are subtle or absent
- Treatment includes lid hygiene, lubricants, and oral antibiotics such as tetracyclines
- Close collaboration between ophthalmology and dermatology optimises outcomes
