Ocular Rosacea* *From the Department of Ophthalmology, Columbia University, College of Physicians and Surgeons, and the Institute of Ophthalmology, Presbyterian Hospital, New York City.

Wise, George N.

doi:10.1016/s0002-9394(43)91857-4

Cited by 37 publications

(6 citation statements)

References 32 publications

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“…Regarding ocular rosacea, 20% of patients will develop ocular manifestations initially, 53% have pre-existing skin involvement and 27% have combined ocular and skin involvement simultaneously [6] . Palpebral involvement remains the most frequent [7] , [8] . E. K. Akpek et al reported that 81% of patients presented with telangiectasias of the free eyelid margin, 78% with meibomus gland dysfunction, and 65% with blepharitis [9] .…”

Section: Discussionmentioning

confidence: 99%

Spontaneous corneal perforation complicating ocular rosacea: Case report

Nabih

Hamdani

Maaloum

et al. 2022

International Journal of Surgery Case Reports

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Introduction Ocular rosacea is a multifactorial disease. Its pathophysiology remains unclear. The ocular manifestations of rosacea are not specific and can range from simple blepharoconjunctivitis to sight-threatening such as corneal perforation. Case report We report the case of a 10-year-old child who presented with a red painful right eye. Based on the clinical findings, we concluded that she had a corneal perforation on ocular rosacea. She benefited from an ipsilateral lamellar autokeratoplasty by lamellar autograft. The evolution was marked by a good healing and a good visual recovery despite a corneal scar. Discussion Ocular rosacea is a multifactorial disease, with an unclear physiopathology. Corneal involvement remains the least common, but the most challenging since serious complications can occur. Corneal perforation is the most severe. Several techniques have been reported and used in the management of corneal perforations such as conjunctival flap, amniotic membrane grafting, and the use of a corneal patch. The later, corneal autografting, remains a simple and effective technique with satisfactory anatomical results. Conclusion Ocular rosacea is a pathology that is still poorly understood and of delayed diagnosis. It can lead to serious vision-threatening complications such as corneal perforation. The corneal patch is a simple, effective and efficient technique that has given good results in our case.

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Section: Discussionmentioning

confidence: 99%

Spontaneous corneal perforation complicating ocular rosacea: Case report

Nabih

Hamdani

Maaloum

et al. 2022

International Journal of Surgery Case Reports

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“…4 The incidence of ocular rosacea varies among ophthalmologic and dermatologic studies, ranging from 6-72%, being more prevalent in ophthalmology clinics. [5][6][7] Rosacea may be found in early childhood as well as in the elderly, but it most commonly affects middle-aged adults. 8 The mean age in our study was found to be 35.8 years.…”

Section: Discussionmentioning

confidence: 99%

“…Starr and McDonald described a characteristic 'arcade' of dilated vessels in the superficial limbal plexus, usually present in the inferior quadrants and not extending into the cornea in ocular patients of rosacea. 28 Chronic conjunctivitis characterized by interpalpebral bulbar conjunctival hyperemia may be present, 7,10 as well as a chronic papillary reaction. 6 Akpek et al described cicatricial conjunctivitis (lower lid) as one of the most common ocular surface findings in rosacea.…”

Section: Conjunctivamentioning

confidence: 99%

Ocular rosacea: The insight

Kaur¹,

Sethi²,

Mittal³

et al. 2020

IJCED

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Rosacea is a chronic cutaneous disorder with non specific and variable ocular manifestations. Ocular rosacea is often underdiagnosed, despite the potential for serious sight threatening sequelae. The study was designed to determine the incidence of ocular disease among the population of rosacea patients along with evaluating the presence of eye dryness in both the patients and controls using Schirmer 1 test. It correlated the severity of ocular disease with the severity of cutaneous rosacea. A total of 72 patients with facial rosacea were enrolled and evaluated with thorough history, physical and ophthalmological examination for ocular rosacea. Schirmer’s test was performed on all patients with ocular rosacea and controls. Out of 72 patients with facial rosacea, 30 (41.62%) were diagnosed with ocular rosacea. On the Schirmer test, ocular rosacea patients had statistically significant lower value than the control group. There was also a statistically significant difference between mean Schirmer test values of male patients and controls and female patients and controls. Symptoms of ocular rosacea are not always specific hence underdiagnosed. Ocular features of rosacea in patients presenting with mere cutaneous findings should not be overlooked.

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“…The most common ocular manifestations involve the eyelids [14, 15]. In one report, 81% of patients presented with lid margin telangiectasia, 78% with meibomian gland dysfunction, and 65% with blepharitis [12].…”

Section: Discussionmentioning

confidence: 99%

“…The most common presentation was punctate epithelial erosions occurring in 13.6% [12, 14]. Wise reported that 67% of patients presenting with corneal complaints to the ophthalmology clinic had corneal neovessels and infiltrates [15]. …”

Section: Discussionmentioning

confidence: 99%

Ocular Rosacea Causing Corneal Melt in an African American Patient and a Hispanic Patient

Saade

Abiad

Jan

et al. 2017

Case Reports in Ophthalmological Medicine

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Purpose To discuss two rare presentations of ocular rosacea in a Hispanic patient and an African American patient with unusual ocular manifestations. Case Report Case 1: a 43-year-old Hispanic woman presented with right eye corneal perforation. Her prior medical history was significant for rosacea only, diagnosed clinically by a dermatologist. Her eye exam showed signs of bilateral ocular rosacea. An emergent full thickness tectonic corneal patch graft was done. The patient's bilateral eye symptoms improved one month after initiating rosacea treatment. Case 2: a 51-year-old African American man with long standing history of untreated rosacea presented with bilateral peripheral corneal thinning with neovascularization that led to right eye corneal perforation. Glue and bandage contact lens were applied. The patient did well 4 weeks after starting antibacterial, oral steroids, and rosacea treatment. Discussion Ocular rosacea can present in Hispanic and African American patients with severe manifestations such as corneal perforation.

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Ocular Rosacea* *From the Department of Ophthalmology, Columbia University, College of Physicians and Surgeons, and the Institute of Ophthalmology, Presbyterian Hospital, New York City.

Cited by 37 publications

References 32 publications

Spontaneous corneal perforation complicating ocular rosacea: Case report

Spontaneous corneal perforation complicating ocular rosacea: Case report

Ocular rosacea: The insight

Ocular Rosacea Causing Corneal Melt in an African American Patient and a Hispanic Patient

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