Rosacea with Ocular Involvement: Conjunctivitis, Blepharitis, and Related Ocular Manifestations

Rosacea does not always remain confined to the skin. A significant subset of patients develop ocular involvement alongside their cutaneous disease, requiring targeted management of the eyes as well as the face.

Ocular Manifestations

Conjunctivitis Blepharitis Ocular irritation Ocular dryness Keratitis

Ocular rosacea can include symptoms such as conjunctivitis, blepharitis, irritation, dryness, or keratitis. These presentations require specific ocular-directed measures in addition to the standard rosacea management approach.

Management Approach

The approach to ocular rosacea begins with local eyelid measures aimed at improving gland function and ocular surface comfort, alongside topical agents — but the complete selection and sequencing of options is detailed in the full protocol. Full regimen available below ↓

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1111/jdv.14349

Ocular rosacea can include symptoms such as conjunctivitis, blepharitis, irritation, dryness or keratitis.

For ocular rosacea, we recommend lid hygiene and lid massages, the application of warm wet tissues to unblock the meibomian glands, lipid containing tear replacements as well as topical cyclosporine, azithromycin, tetracyclines or grade I steroids.

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