Ocular rosacea is inflammation of the eyes and eyelids associated with rosacea, a chronic skin condition that causes facial flushing, redness, and visible blood vessels. It commonly affects the eyelid margins and tear film.
Symptoms
People with ocular rosacea often report burning, stinging, or dry eye sensations, along with redness of the eyes and lids. There may be recurrent styes or chalazia, crusting around the lashes, and sensitivity to light or wind.
- Frequently occurs in individuals with facial rosacea, but eye symptoms can precede skin changes
- Blepharitis and meibomian gland dysfunction are common findings
- Flare-ups may be triggered by heat, spicy food, alcohol, or sun exposure
- In more severe cases, the cornea can become inflamed or ulcerated
Management
Treatment aims to control inflammation and improve tear film quality through lid hygiene, lubricating drops, and, when needed, topical or oral medications such as antibiotics. Long-term care often involves both dermatology and eye specialists to address skin and ocular aspects of the condition.
- Regular warm compresses and lid cleaning help unblock meibomian glands
- Sun protection and trigger avoidance can reduce flares
- Early treatment of corneal involvement is important to protect vision
- Ongoing follow-up supports stable control of symptoms over time
