Treatment of ocular manifestations of rosacea

First-line therapy for ocular rosacea is ocular lubricant, daily eyelid hygiene (as for blepharitis), and firm eyelid massage towards the margins (ie towards the eyelashes). If this does not control symptoms, use oral antibiotics as for treatment of inflammatory papules and pustules in rosacea. If antibiotics are not effective, refer to an ophthalmologist for advice.

Consider whether the patient presents with other clinical features and subtypes of rosacea, and treat accordingly; see Presentation and approach to management of rosacea. If patients also present with cutaneous signs of rosacea, advise patients on general measures to minimise irritation of rosacea.