Ocular Rosacea: Understanding the Symptoms and Best Treatment Options

Published on

March 10, 2023

Ocular Rosacea: Understanding the Symptoms and Best Treatment Options

Rosacea is a skin condition that affects many people. While it is commonly found on the face, rosacea can also affect the eyes and cause symptoms such as itchiness, redness, tearing, light sensitivity, blurred vision, and more. In this blog, we will discuss the best treatment options for ocular rosacea and how you can manage this condition effectively.

Tip #1: Avoid Your Triggers

Rosacea has certain triggers that can cause a flare-up of symptoms. Some common triggers include spicy foods, UV light exposure, dairy products, alcohol, exercise, emotional stress, hot beverages, and heat in general. Medications and higher doses of Vitamin B6 and B12 can also be triggers. The key to managing ocular rosacea is to identify and avoid your triggers as much as possible.

Tip #2: Manage Blepharitis

Blepharitis is a condition where the eyelids become inflamed due to a buildup of microorganisms, bad skin oils, and inflammation. To manage blepharitis, you can use warm compresses on the eyelids and perform eyelid scrubs with a foaming cleanser that contains tea tree oil. The warm compresses can help treat the oil glands and improve oil production, while the tea tree oil can help get rid of Demodex mites that are a major problem for people with rosacea.

Tip #3: Use Omega-3 Supplements

Omega-3 supplements are highly debated in the field of eye care, but a 2013 study showed that patients taking 1.5 grams of Omega-3 supplements showed significant improvement in meibomian gland dysfunction after one and three months. It is important to note that the supplement used in this study also contained other vitamins and minerals.

Tip #4: Control Inflammation

Inflammation plays a major role in ocular rosacea, so it is important to control it. Two options for controlling inflammation are topical steroids and topical cyclosporine. Topical steroids are great for flare-ups, while cyclosporine is a safer long-term option. Talk to your doctor about which option is best for you.

Tip #5: Consider Oral Medications

Oral medications such as doxycycline, minocycline, and azithromycin have all shown promising results in the treatment of rosacea and ocular rosacea. These medications work by inhibiting matrix metalloproteinases and cathelicidin polypeptide, which are significant in rosacea. They can reduce bacteria on the surface of the eyelids and improve the oil quality of the meibomian glands.

Tip #6: Consider IPL Procedure

Intense Pulsed Light (IPL) is a procedure that uses light to coagulate irregular blood vessels on the eyelids and reduce inflammation. It also helps liquefy the thickened oils of the oil glands and improve oil production. IPL is a great option for ocular rosacea and dry eye treatment, but it is not offered at every eye clinic and can be expensive.

Tip #7: Consider Amniotic Membranes

In the event of significant inflammation that is not being treated with other methods, your optometrists may recommend amniotic membranes, which are extremely effective at promoting cellular rejuvenation and combat inflammation on the corneal surface.

Tip #8: Ask Your Doctor About Brimonidine Eye Drops

Brimonidine eye drops have not been specifically studied for ocular rosacea, but they have shown to be effective in reducing redness and improving blood flow to the eyes. You can talk to your doctor about using Brimonidine eye drops as part of your treatment plan. Remember, it is always important to consult with an eye doctor before starting any new treatment or making changes to your current routine. They will be able to assess your individual case and recommend the best treatment options for you.