Diagnosis and Treatment of Ocular Rosacea | Ophthalmology

Ocular Rosacea

What is Ocular rosacea?

Ocular rosacea is an inflammatory eye condition that often affects people with rosacea of the skin. This condition mainly causes red, irritated and itchy eyes. The exact cause of rosacea is unknown, but the condition may be related to inherited tendencies and environmental factors such as excessive sun exposure.

Ocular rosacea is a common condition. There is a lot of research on this, but a cure has yet to be found.

There is no cure for ocular rosacea, and symptoms can often be controlled with medications and eye care. However, recurring symptoms are common.

People with ocular rosacea are at increased risk of:

  • Sensitivity to light
  • Infection
  • Sight loss

Of the more than 16 million people with rosacea in the United States, more than 50 percent experience symptoms related to the eyes. One source suggests that the percentage of people with ocular rosacea is between 58 and 72 percent.

You may develop skin symptoms before eye symptoms, both conditions simultaneously, or eye symptoms before skin symptoms appear.

Women are more likely to experience cutaneous rosacea, but the ocular version looks similar in men and women with rosacea. The most common age affected by ocular rosacea is between 50 and 60 years.

People who blush and blush easily are at risk of developing this eye problem.

Ocular rosacea is also known as subtype IV rosacea.

Symptoms of Ocular rosacea

The signs and symptoms of ocular rosacea precede the skin symptoms of rosacea, which develop at the same time, develop later, or occur on their own. The signs and symptoms of ocular rosacea can include:

  • Redness, burning, itching, or watering of the eyes
  • Dry eyes
  • Bloodshot eyes
  • Pink eye
  • Eye piercing or burning
  • Itchy eyes
  • The sensation of having a foreign body in the eye or eyes
  • Blurry vision
  • Sensitivity to light
  • Blocked and swollen glands
  • Sensitivity to light (photophobia)
  • The small blood vessels in the white of the eye that you see when you look in the mirror are detached
  • Red and swollen eyelids
  • Recurrent eye or eyelid infection such as conjunctivitis, blepharitis, stasis, or chalazion
  • The severity of the symptoms of ocular rosacea does not always coincide with the severity of the skin symptoms.

Causes of Ocular rosacea

The exact cause of ocular rosacea, such as cutaneous rosacea, is unknown. This can be due to one or more factors:

  • Heritage
  • Environmental factors
  • Bacterial involvement
  • The glands of the eyelids are blocked.
  • Hair worms
  • Some research has shown a potential link between cutaneous rosacea and the bacteria Helicobacter pylori, which are the same bacteria that cause gastrointestinal infections.

Many factors that exacerbate cutaneous rosacea can exacerbate ocular rosacea. Some of these factors are:

  • Spicy or spicy foods or drinks
  • Alcohol
  • Intensity of sunlight, wind or temperature.
  • Some emotions like stress, anger, or embarrassment.
  • Exercising hard
  • Hot baths or saunas

Diagnosis of ocular rosacea

It is important to seek medical attention if you develop eye problems to avoid potential vision problems. Some people with ocular rosacea develop corneal problems. Corneal problems affect the ability to see.

Most doctors can make a diagnosis by looking closely at the face, but ophthalmologists and optometrists often use a microscope that focuses on the blood vessels and glands. Tear function tests can help your doctor diagnose ocular rosacea in its early stages.

Ocular rosacea is often diagnosed in people who do not have the appearance of cutaneous rosacea, although these two conditions are not mutually exclusive.

Regardless of how often the two conditions go hand in hand, people with a diagnosis of cutaneous rosacea should make sure to get regular eye exams.

Treatment for Ocular rosacea

Ocular rosacea can usually be controlled with medications and home vision care. But these steps do not cure the condition, which is often chronic.

Your doctor may prescribe the temporary use of oral antibiotics such as tetracycline, doxycycline, erythromycin, and minocycline. For a serious illness, you may need to take an antibiotic for a longer time. 

Medical treatment 

It is important to see a doctor if you have symptoms of ocular rosacea.

Rosacea is not curable, but there are treatments to control the symptoms. The earlier the medical intervention, the better, because your symptoms are much easier to control.

Although skin symptoms are usually treated with a topical antibiotic applied directly to the problem area, rosacea of the eyes is often treated with an oral antibiotic.

Tetracycline and doxycycline are commonly prescribed for this condition. Cycles of antibiotics can work for up to six weeks, but low-dose versions are sometimes prescribed longer.

Although oral antibiotics are the most common treatment, topical cyclosporine is reported to be a more reliable source of improving ocular rosacea symptoms than doxycycline. It has no serious side effects for long-term use as an oral antibiotic. Significant results are obtained after three months of use.

Your doctor may also prescribe eye drops that contain steroids. These will reduce inflammation and help in a few days. Steroid eye drops are not designed for long-term use.

Living with ocular rosacea

Many things can make a situation worse and help prevent it. In addition to:

  • Extreme heat, cold, sun, or wind
  • Intense activity
  • Alcohol or hot drinks
  • The spicy food
  • Stress

It also helps if you have:

Wear glasses or sunglasses to protect your eyes from the sun and wind when you go out.

Keep the area around the eyes clean. Your doctor may instruct you to apply warm compresses to your eyelids several times a day or to gently wash your lids and lids with Q-Tip and Baby Shampoo.

Stay on top of your medications. Be sure to follow your doctor’s instructions to prevent your symptoms from getting worse. If they get worse, tell your doctor immediately.

Home and natural remedies for ocular rosacea 

Homemade lashes are also an option. Washing is simply warm water and baby shampoo applied to a washcloth. It works the same way as the over-the-counter eyelid wash.

Warm compresses help unblock the glands and stabilize the tear film. Warm compresses are recommended several times a day. Gentle massage of the eyelids also works to free the clogged glands that are the main cause of inflammation.

Warm compresses for eyelid massages are not meant to be a quick fix and are often recommended as a long-term habit to thrive.

It is also beneficial to replace your diet with fish oil and flax seeds.

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