| Abstract [eng] |
Introduction Rosacea is a chronic inflammatory disease of the facial skin with complex etiology that affects the quality of life of patiens. Ocular rosacea is one of the forms of this disease and can clinically present with blepharitis, meibomitis, conjuctival hyperaemia, dry eye syndrome, corneal neovascularisation and corneal ulcers. Complications with severe corneal damage can lead to the loss of vision. The aim and the relevance of the study Ocular symptoms are surprisingly common in patients with rosacea, however this form of the disease remains highly undiagnosed. In recent years, increasing attention has been paid to the presentation of ocular rosacea, although the disease still remains a challenge for dermatologists, ophtalmologists and allergologists. To date, the diagnosis of ocular rosacea has been solely based on the observation and interpretation of skin and ocular signs. The aim of this paper is to review and identify the causes, clinical presentation and the most effective therapeutic approaches to ocular rosacea based on current evidence. Conclusion An early diagnosis and appropriate treatment are essential to avoid visual threatening complications and to improve patients quality of life. The main elements of pathophysiology of ocular rosacea are inflammation, infection with Demodex mites and meibomiam gland dysfunction. The main complaint of patients are eye irritation, foreign body sensation, redness and dryness of the eyes. Inflammation can be controlled with timely diagnosis and appropriate medical treatment. Effective treatment of ocular rosacea usually includes eyelid hygiene, treatment of dry eyes with artificial tears and local or systemic antibiotics. |
