Health Library Logo

Health Library

Ocular Rosacea

Overview

Eye rosacea is a condition where the eyes become inflamed, causing redness, a burning sensation, and itching. This often happens in people who already have rosacea, a long-term skin problem that usually affects the face. Sometimes, eye rosacea is the first sign that someone might later develop rosacea on their face.

Eye rosacea is most common in adults between 30 and 50 years old. People who get easily flushed or blush easily seem to be more prone to developing it.

Unfortunately, there's no way to completely get rid of eye rosacea. However, treatments and good eye care habits can help manage the symptoms and keep them under control.

Symptoms

Rosacea can affect your eyes as well as your skin. Sometimes, eye problems show up before skin problems, at the same time, or even later. Eye rosacea, also called ocular rosacea, has several possible symptoms:

  • Eye redness, burning, itching, or excessive tearing: This is a common sign. The feeling can be uncomfortable and persistent.
  • Dry eyes: This can make your eyes feel gritty or scratchy, as if there's something in them.
  • Foreign body sensation: Your eyes might feel like there's something irritating them, even when there isn't.
  • Blurred vision: This can range from mild to noticeable.
  • Light sensitivity (photophobia): Bright light might feel painful or uncomfortable.
  • Visible blood vessels: Small, red blood vessels on the whites of your eyes might become more noticeable. You can see these in a mirror.
  • Red, swollen eyelids: This is another common sign of ocular rosacea.
  • Frequent eye infections: You might get infections like pink eye (conjunctivitis), blepharitis (inflammation of the eyelids), or styes (small infections) more often.

Important Note: The severity of eye rosacea doesn't always mirror how bad the skin rosacea is. One might be mild while the other is more severe.

If you experience any of these eye symptoms, schedule a doctor's appointment. Early detection and treatment are key to managing ocular rosacea. If you already have skin rosacea, talk to your doctor about getting regular eye exams to check for eye rosacea. This is important because early treatment can help prevent further eye problems.

When to see a doctor

If you're experiencing dry, burning, itchy, or red eyes, or blurry vision, it's a good idea to see a doctor. These could be signs of ocular rosacea, a condition affecting the eyes that's often linked to skin rosacea. Making an appointment is the first step.

If you already have a diagnosis of skin rosacea, talk to your doctor about getting regular eye exams. This is important because ocular rosacea can develop even if you don't have noticeable eye symptoms. Your doctor can check for any signs of the condition and help you manage it effectively.

Causes

Ocular rosacea, a condition affecting the eyes, is similar to skin rosacea, and its exact cause isn't fully understood. Many things might play a role. These include:

  • Family history (heredity): If your family members have rosacea, you might be more likely to develop it.
  • Environmental factors: Things like pollution or exposure to certain substances in the environment could contribute.
  • Bacteria: Some types of bacteria might be involved in causing the condition.
  • Eyelid gland problems: Blockages in the tiny oil glands in your eyelids can lead to inflammation.
  • Tiny mites: Tiny creatures called eyelash mites can sometimes play a role. These mites are common and usually harmless, but in some people, they might trigger a reaction.

Interestingly, some research suggests a connection between rosacea and a type of bacteria called Helicobacter pylori, which is known to cause stomach problems. More research is needed to confirm this link.

Just like with skin rosacea, certain things can make ocular rosacea worse. These include:

  • Hot or spicy food and drinks: These can increase inflammation.
  • Alcohol: Alcohol consumption can trigger a flare-up in some people.
  • Extreme weather conditions: Exposure to intense sunlight, wind, or very hot or cold temperatures can irritate the eyes.
  • Emotional stress: Feeling stressed, angry, or embarrassed can sometimes worsen the condition.
  • Physical exertion: Vigorous exercise can also sometimes make rosacea symptoms worse.
  • Hot baths and saunas: These can increase blood flow and potentially worsen symptoms.

It's important to remember that everyone experiences rosacea differently, and what triggers it in one person may not affect another. If you suspect you have ocular rosacea, it's best to consult a doctor for diagnosis and treatment.

Risk factors

Rosacea can affect both your skin and your eyes. This is called ocular rosacea. Sometimes, someone has rosacea only in their eyes, and not on their skin. While rosacea on the skin is more common in women, ocular rosacea affects men and women about equally. People with lighter skin, particularly those of Celtic or Northern European descent, are more likely to develop rosacea in general.

Complications

Rosacea affecting the eye, called ocular rosacea, often happens when your eyes don't get enough tears. This dryness can irritate the surface of your eye, the cornea. Problems with the cornea can cause blurry vision or other vision problems. If you have eyelid inflammation (blepharitis), it can also irritate the cornea. This irritation can come from eyelashes rubbing against the cornea or other issues. Over time, these corneal problems can lead to vision loss.

Diagnosis

Doctors don't use specific tests to diagnose ocular rosacea. Instead, they figure out if you have it by looking at your symptoms, your past health, and examining your eyes, eyelids, and facial skin. They'll ask about any eye problems you're having, like redness, burning, or itching. They'll also check for other signs of rosacea on your face, such as redness, bumps, or visible blood vessels. This combination of information helps them reach a diagnosis.

Treatment

Ocular rosacea, a condition affecting the eyes, is often manageable with medicine and simple home care. However, these methods typically don't completely get rid of the problem, and it often lasts a long time.

Your doctor might suggest taking antibiotics like tetracycline, doxycycline, erythromycin, or minocycline for a short period. If your ocular rosacea is very bad, you might need to take antibiotics for a longer time.

Address: 506/507, 1st Main Rd, Murugeshpalya, K R Garden, Bengaluru, Karnataka 560075

Disclaimer: August is a health information platform and its responses don't constitute medical advise. Always consult with a licenced medical professional near you before making any changes.

Made in India, for the world