Treatment of ocular rosacea: A practical review from an interdisciplinary approach.
Arch Soc Esp Oftalmol (Engl Ed)
; 98(10): 577-585, 2023 Oct.
Article
en En
| MEDLINE
| ID: mdl-37696488
ABSTRACT
Rosacea is a chronic and inflammatory disease that primarily affects the skin, although more than half of cases also present with ocular symptoms ranging from blepharitis to conjunctivitis and keratitis. It represents a frequent reason for consultation with a psychosocial impact, affecting quality of life, and requires management involving ophthalmologists, dermatologists, and primary care physicians. For this paper, a search was conducted in several databases, including Medline, Embase, Cochrane, and Google Scholar, using the MeSH term "rosacea" in conjunction with other relevant keywords such as "ocular rosacea", "management", "treatment", and "guidelines". Available articles were reviewed. International and local guidelines recommend initiating the management of rosacea with lifestyle changes, including ocular hygiene and avoidance of triggers. Topical or oral treatment is recommended as the next step, with topical cyclosporine, topical azithromycin, topical tacrolimus, and oral doxycycline being the treatments most supported by evidence. Combination treatments are also recommended. Current management guidelines mainly focus on cutaneous manifestations, generating few guidelines on ophthalmologic treatment, and most recommendations are issued by experts. This work compares local and international treatment guidelines for rosacea, as well as other available medical literature, and suggests a practical and interdisciplinary treatment scheme for ocular involvement based on the reviewed bibliography.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Asunto principal:
Rosácea
/
Conjuntivitis
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
En
Revista:
Arch Soc Esp Oftalmol (Engl Ed)
Año:
2023
Tipo del documento:
Article
País de afiliación:
México