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To be precise, ocular rosacea is defined as an inflammatory eye condition often associated with acne rosacea. Ocular rosacea can cause a persistent burning or gritty feeling in the eyes. For others, ocular rosacea manifests itself as inflamed and swollen eyelids with small inflamed bumps, eye lashes that may fall out, compounded by bloodshot eyes (Dr. Thiboutot). The ophthalmic signs of ocular rosacea can vary widely, including blepharitis, conjunctivitis, iritis, iridocyclitis, hypopyoniritis, and even keratitis. (These conditions will be described in detail below.) The term ophthalmic or ocular rosacea covers all these signs. The most frequent signs, which may never progress to a more severe condition, are chronically inflamed margins of the eyelids with scales and crusts, quite similar to seborrheic dermatitis, with which ocular rosacea is often confused. Pain and photophobia (abnormal sensitivity to light) may be present. The ocular complications are independent of the severity of facial rosacea (Drs. Gerd Plewig & Albert M. Kligman).
Those with ocular rosacea are frequently frustrated with their chronic eye condition. It is reported that 50 to 60% of all rosacea sufferers also have ocular rosacea. In one study (Starr, McDonald 1969) it was found that ocular rosacea symptoms occurred in 58% of patients. Most Rosacea-Ltd III customers notice a beautifying of the condition of their skin and an improvement in the appearance of their rosacea, seborrheic dermatitis, ocular rosacea, and adult acne.
Ocular rosacea suffers generally have chronically "bloodshot" eyes, dry eyes, and blepharitis (inflammation and debris of the eyelid margins). In severe ocular rosacea, there may be corneal ulceration (infection) which, if untreated, may even lead to perforation of the eye. This can be a potentially blinding complication.
Ocular rosacea can be difficult to diagnosis and may in fact be overlooked if one does not have any other symptoms of rosacea. Rosacea is a skin disease, but can have serious ocular side effects, ranging from a chronic irritation or gritty feeling in the eyes to potentially being a blinding disease."An accurate and timely diagnosis is essential for long-term ocular health.
Ocular rosacea is a serious condition that needs to quickly be under control , as the patient could potentially lose vision from in the more severe cases. Any patient with rosacea who has ocular irritation, light sensitivity along with a decrease in visual acuity or obvious inflammation of the lids or conjunctiva should be referred to an ophthalmologist." One of the concerns in ocular rosacea is the possibility of secondary infection, since a dry environment is a good breeding ground for bacteria like staphylococci.
The Goal of Ocular rosacea treatment is aimed at preventing irritation of the ocular surface and controlling inflammation in the eyes. There is no gold standard treatment for ocular rosacea, but awareness, knowledge and attention to the symptoms is a healthy step toward determining an appropriate course of care for ocular rosacea.
Ocular rosacea can be difficult to diagnosis and may in fact be overlooked if one does not have any other symptoms of rosacea. Rosacea is a skin disease, but can have serious ocular side effects, ranging from a chronic irritation or gritty feeling in the eyes to potentially being a blinding disease."An accurate and timely diagnosis is essential for long-term ocular health.
Rosacea patients have a tendency to be overall more dehydrated than others. The body is approximately 65% water while the eye is 96% water. Increasing your water intake will increase the moisture in the eye (thereby decreasing irritation and dryness). It has been found that increasing the amount of water consumed daily can ease the symptoms of ocular rosacea for many
Approximately 20 percent of ocular rosacea problems occur prior to the typical skin related rosacea symptoms though it is more normal (about 80 percent of the time) for the skin symptoms to appear first. (Borrie, 1953).
The dry eye syndrome, which often accompanies ocular rosacea, can also be treated with non-preserved artificial tears, as often as 4 times a day or more. Another ocular treatment is a home humidifier which may also add valuable moisture to the air. If these treatments for the symptoms of ocular rosacea are not sufficient, more drastic treatments may be needed. One such ocular treatment involves closure of the tear drainage ducts which is accomplished with silicone plugs, which are reversible, or punctal cautery (a burning of the tear duct openings), which is a relatively permanent ocular treatment.
Blepharitis is a common inflammatory ocular condition that affects the eyelids. It usually causes burning, itching and irritation of the lids. Other common symptoms include sandy, itchy eyes, red and/or swollen eyelids, crusty, flaky skin on the eyelids, and dandruff. In severe cases, this ocular condition may also cause sties, irritation and inflammation of the cornea (keratitis) and conjunctiva (conjunctivitis). Some patients have no ocular symptoms at all. Blepharitis, usually a chronic problem, can be controlled with extra attention to lid hygiene. However, it may also be caused by an infection which would require treatment with a prescription medication.
The key to controlling blepharitis is to keep the eyelids and eye lashes clean. Home treatment should begin by soaking a clean wash cloth in hot tap water. Place the compress on closed eyelids for five minutes, and then repeat. Next, gently scrub the eyelids with a wash cloth or cotton swab soaked in a mixture of equal parts of baby shampoo and water. Afterward, rinse the lids thoroughly with warm water.
This treatment may need to be repeated two to three times daily for two weeks, and then reduced to once daily. Like dandruff, there is no cure for blepharitis; but with treatment, it can be controlled. Anti-inflammatory and antibiotic treatment drops or ointments may be necessary for flare-ups or more severe cases. Remember to remove all mascara before going to bed.
Keratitis is one of the more serious conditions which may occur in relation to ocular rosacea. Keratitis is a term used to cover a range of ocular conditions where there is infection or inflammation of the cornea. This condition may result in severe eye pain, blurry vision and sensitivity to light. Medical evaluation and treatment of keratitis is absolutely essential. Minor corneal infections are commonly treated with anti-bacterial or anti-fungal eye drops. If the problem is more severe, a person may receive more intensive antibiotic treatment to eliminate the infection and may even require steroid eye drops to reduce inflammation.
Iritis is an inflammation of the iris, a part of the eye. Symptoms include eye pain, sensitivity to light, and/or blurry vision. The symptoms of this may resemble conjunctivitis (also known as "pink eye").
Sties can also occur in ocular rosacea. The best treatment for a stye is a warm compress. Apply a warm, moist wash cloth to your lids for 5 minutes, four times a day. Following this treatment, within a few days the infection will either die down or come to a head and drain.
Chalazia, or bumps on eyelids, may also be a problem. Hot packs are the best treatment for these infections. However, if the bump fails to go away in a month it may be necessary to drain it. This treatment is done in your Ophthalmologist's office.
Treatment of ocular rosacea requires a highly motivated patient. With regard to ocular rosacea, treatment usually consists of lid hygiene measures, such as daily cleansing with cotton-tipped applicators (Q-tips). This entails cleansing the bases of the lashes with a moistened Q-tip to remove debris and oily secretions. Some ophthalmologists advocate cleansing with diluted baby shampoo, while others believe that plain water is best. Often, an antibiotic or combination antibiotic-steroid ointment is prescribed for various periods of time, depending on response.
We also have found it beneficial to include in your diet three servings per week from the Omega-3 supplements. These essential fatty supplements aid in an overall balanced diet as well as easing the discomfort of ocular rosacea.
Antibiotics from the tetracycline family such as Doxycycline and Minocycline are often prescribed to bring symptoms of ocular rosacea under control. Studies of the use of Doxycycline by patients with ocular rosacea showed significant improvement with a variety of signs/symptoms including dryness, itching, blurred vision and photosensitivity, scales, erythema and telangiectasis (Quarterman 1997).
For dry eyes, some rosacea sufferers use Celluvisc Eye treatment drops found at drug stores or grocery stores. They are much thicker than the usual eye drops and can be used without taking out contact lenses. Because of the thickness of the eye drops, they may temporarily impair vision.
The process of applying Rosacea-Ltd III to the eye is the same as the skin. First, hydrate by drinking the proper amount of "alkaline water" as directed in the Letter of Instructions that we provide (based on weight, age, exercise, hours outside, and humidity in your area). Wash the face and eye area as described in your personalized Letter of Instructions and leave the skin wet as well as the eye socket area. The eye that Rosacea-Ltd III is to be applied to first is closed for an eye lid application of 1/2 second with Rosacea-Ltd III. The face is always left 'wet' after washing as we mentioned on the "sample application page" found on our web site. The Rosacea-Ltd III disk is 'gently glided' across the closed wet eyelid to dissolve a small amount of Rosacea-Ltd III onto the eye lid. The Rosacea-Ltd III "penetratrates and migrates" so only a 1/2 second application or a 'quick' is needed as the wet skin causes the proper amount of Rosacea-Ltd III to dissolve off on to the eye lid and restore the beauty of the eye.
