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Ocular Rosacea :Ocular Rosacea is an inflammatory skin conditions that’s appeared as flushing, ithiching & irritation,prominent vasculature in ocular region.
Child gets ocular rosacea ?
Child aged ocular rosacea is a rare case but starts after 30 years ages
” More than 50% patients with Rosacea have developed as ocular rosacea “
Symptoms of Ocular Rosacea :
–Redness of eye
-Itching, irritating
-flushing
-Dryness of Eye
-Secretion of Tears
-Papules
-pustules
-Photophobia
-Burning sensation & Soreness
–Foreign body sensation
Signs of Ocular Rosacea:
Eyelid & Conjunctiva :
blepharitis: Inflammation Of Eye lid called blepharitis which can be classified as 1.Anterior blepharitis 2.Posterior blepharitis
Anterior blepharitis :
* Redness & dilated blood vessels
* Swelling & thickening of lid margin
*Scaly debris at the base of the eyelashes
*Madarosis
Posterior blepharitis:
Posterior blepharitis related to meiobomian glands includes obstruction ducts & loss of the glands ,this can leads to –
–Dilated conjunctival vessels
-Cloudy secretions
-Papillary & Follicular Reactions in the tarsal plate
– Chalazions
– Stye can be formed
Ocular Rosacea presentation includes as …..
– Blepharitis
-Conjunctival hyperaemia
-Rosacea – associated Keratitis
Management of Ocular Rosacea :
1. Conservative treatment in ocular rosacea
Lid Hygiene : dilute baby shampoo,dilute bicarbonate solution or proprietary preparation can be uses with a cortton bud to clean eyelid margin
– Warm compresses to closed eyelids for 5 to 10 minutes daily
– Ocular lubricants can reduce symptoms due to dryness of eye
– Avoid wearing contact lenses if they irritate the inlammed Eye
2. Topical Anti microbials used in ocular rosacea
When anterior blepharitis developed ,you can be managed with different topical antibiotics & antiseptics such as azithromycin,erythromycin ,metronidazole ,bacitracin ,polymyxin -B & Fusidic acid etc.
” Omega -3 fatty acid supplement can act as beneficial effect for some patients with dry eyes “
” Oral retinoids – isotretinoin can be helpful for some ocular rosacea but have side effects (dryness of eyes) disturbing eyes “
3. Surgical treatment in ocular rosacea
When rosacea developed as keratitis ,need to be surgery – keratoplasty .
Herdeola or style if fail to improve with warm compressor,antibiotics therapy can be used in eye lid.
4. Topical Anti – inflammatory drugs in ocular rosacea
-NSAIDs such as ibuprofen can be helpful
– Topical steroids are used when keratitis developed in rosacea patients.
5. Systemic antibiotics used in ocular rosacea
Systemic antibiotics such as Tetracycline ,e.g.doxycycline ,Macrolids ,e.g.erythromycin can be decreased bacteria & improve tear film & normalise meibomian gland secretions
