Ocular Subtype

Can be seen in the presence or absence of skin manifestations of rosacea.  Characterized by conjunctival erythema and injection, sometimes accompanied by eyelid edema (blepharitis), foreign body sensation, and/or glandular inflammation (chalazion) along the eyelid margin.  Patients report subjective symptoms: foreign body sensations, dry eyes, itching and burning, photosensitivity. The vision is rarely affected.

  • Ocular rosacea requires systemic antibiotics (oral tetracyclines are first line in individuals over the age of 8 years old).
  • Topical corticosteroid eyedrops may be beneficial.
  •  The risks of untreated ocular rosacea include a chronic keratitis that can result in visual impairment.