Fast Five Quiz: Ocular Rosacea

Christopher J. Rapuano, MD


June 04, 2019

Because there is no known cure for ocular rosacea, the goals of patient management are prophylactic and palliative in nature. A stepwise approach is recommended, beginning with eyelid hygiene and artificial tears. The use of hot compresses and/or light pressure on the eyelids promotes the expression of meibomian gland secretions. Nonirritating eyelid scrubs can also be applied to the eyelids to keep them clean. Blepharitis of the eyelids can be treated with thermal pulsation. In addition to thermal pulsation, a hand-held medical-grade exfoliating microsponge can be used to remove scurf and debris from the eyelid and eyelash areas.

Oral antibiotics should not be used in asymptomatic patients. When symptoms occur, both topical and oral anti-inflammatory medications may be used. In studies of patients with moderate to severe papulopustular rosacea, the combination of oral doxycycline with topical metronidazole or azelaic acid showed a faster onset and greater magnitude of efficacy over 12 weeks versus monotherapies.

For more on the treatment of ocular rosacea, read here.

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