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Ocular Rosacea

It is estimated that about 50% of Rosacea sufferers also have problems with their eyes. This is called Ocular Rosacea. Sometimes eye problems precede skin related rosacea symptoms though it is more common for the skin symptoms to appear first.

General Symptoms

An eye affected by rosacea often appears to be watery or bloodshot. Patients may also have the sensation of a gritty or foreign body in the eye, or perhaps a dry, burning or stinging sensation. In the majority of ocular rosacea patients, there is a feeling of fullness in the eyelid. This is usually the result of thickened secretions of the meibomian or Zeis glands along the eyelid margin. The fatty secretions help to avoid evaporation of the watery layer of the tears. The plugging of these glands may lead to dry eye or styes, both common manifestations of ocular rosacea. Many sufferers also report a sensitivity to light and blurry vision

Specific Conditions

  • Blepharitis - this is the inflammation of eyelashes or lid margins. Blepharitis often results in red, itchy, burning eyes as well as scales and crusts on the eyelids. Included in this group of conditions are infections of eyelash follicles. Other conditions include chalazia or meibomitis which is an enlarged, inflamed or plugged meibomian gland (this is the gland which lubricates the eyelids). Problems with the meibomian gland can result in dry eyes.
  • Red, painful eyes may be the result of conditions known as episcleritis and scleritis. Both of these conditions involve inflamed blood vessels in the eye.
  • Keratitis is one of the more serious conditions which may occur and is a term which is used to describe a range of conditions where there is infection or inflammation of the cornea. Medical evaluation and treatment of keratits is absolutely essential.
  • Iritis is the inflammation of the iris. Symptoms include eye pain, sensitivity to light, and/or blurry vision.


As with facial rosacea, ocular rosacea patients are also encouraged to identify and avoid any lifestyle or environmental factors that may trigger or aggravate their individual condition.


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