Rosacea can extend beyond the skin to affect the eyes. When ocular features are present, the clinical picture and management differ meaningfully from cutaneous rosacea alone.
Clinical scenario: Ocular rosacea can include symptoms such as conjunctivitis, blepharitis, irritation, dryness, or keratitis — a presentation that calls for a specific management approach.
For moderate-to-severe ocular rosacea, the protocol centres on a course of oral antibiotic therapy. The full structured regimen — including agent selection, sequencing, and duration — is in the complete protocol.
DOI: 10.1111/jdv.14349
Ocular rosacea can include symptoms such as conjunctivitis, blepharitis, irritation, dryness or keratitis.
In moderate-to-severe ocular rosacea, oral antibiotics such as tetracycline as doxycycline 100 mg once or twice daily for 6–12 weeks can be used.
Oral azithromycin is also a viable treatment option.
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