Which ocular findings are characteristic of rosacea?

Updated: Mar 03, 2020
  • Author: Jitander Dudee, MD, MA(Cantab), FACS, FRCOphth; Chief Editor: Edsel Ing, MD, MPH, FRCSC  more...
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Answer

Ocular findings are as follows:

  • Eyelid (most common) [17]

    • Eyelid telangiectasias as depicted below

      Ocular rosacea. Eyelid telangiectasias with inspis Ocular rosacea. Eyelid telangiectasias with inspissated meibomian glands.
    • Blepharitis

    • Meibomian gland dysfunction

    • Thick viscous plugging of meibomian gland orifices

    • Hordeola/chalazia

  • Conjunctivitis

    • Usually chronic, diffuse hyperemia

    • Can lead to cicatrization in rare, severe cases

  • Corneal findings

    • Punctate epithelial keratopathy (PEK), usually in the inferior one third of the cornea

    • Marginal corneal infiltrates

    • Corneal neovascularization

    • Superficial, wedge-shaped peripheral vascularization with its base at the limbus

    • Can progress to frank corneal neovascularization and eventual opacification as shown below

      Ocular rosacea. Extensive corneal neovascularizati Ocular rosacea. Extensive corneal neovascularization and opacification.
    • Corneal thinning as depicted below, ulceration, and perforation

      Ocular rosacea. Extensive corneal pannus with thin Ocular rosacea. Extensive corneal pannus with thinning.
  • Secondary bacterial keratitis

  • Episcleritis, scleritis (rare)


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