What is the role of surgery in the treatment of ocular 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

See the list below:

  • Treatment of dry eye - Punctal occlusion can be accomplished via permanent silicone plugs or punctal cauterization.

  • Amniotic membrane - Amniotic membrane has anti-inflammatory properties and promotes reepithelization of the cornea. It can be used to reconstruct the corneal surface in severe cases of rosacea when a nonhealing epithelial defect, corneal ulceration, or limbal stem cell deficiency are present.

  • Treatment of corneal perforations

    • Cyanoacrylate tissue adhesive

    • Lamellar keratoplasty

    • Penetrating keratoplasty

  • Restoration of vision from corneal disease

    • Penetrating keratoplasty

    • The success rate for graft survival is generally much lower than for noninflammatory conditions because of the increased vascularization of the host cornea.

  • Treatment of limbal stem cell deficiency - Limbal stem cell transplant


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