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Ocular Rosacea
Concerns and considerations with Lasik, All-Laser Lasik, PRK, LASEK,
Epi-Lasik, CK, RLE, and P-IOL.
Ocular rosacea (pronounced rose-ay-shah) is a contraindication
for all
refractive surgery techniques until treated and managed. Even
after management, having refractive surgery with ocular rosacea
may not be wise because of the possibility of reoccurring outbreaks.
Rosacea is a potentially progressive neurovascular disorder that
can present as a combination of skin symptoms including redness
of the face, flushing, the presence of small blood vessels ("broken"
blood vessels), acne, occasional surface irregularities of the nose
(called rhinophyma), and symptoms of redness. Rosacea blood vessels
undergo changes in function and become hyper-responsive to internal
and external stimuli. These changes are ultimately responsible for
the progression of all rosacea symptoms. When it affects the eyes
it is called ocular rosacea.
Ocular rosacea can affect both the eye surface and eyelid. Symptoms
can include redness, dry eyes, foreign body sensations, sensitivity
of the eye surface, burning sensations and eyelid symptoms such
as styes, redness, crusting and loss of eyelashes. Ocular rosacea
can leave the eyes feeling irritated and "gritty".
Many who have rosacea mistakenly think they have allergies.
Use of prescription steroid based eye drops will usually help
improve this condition. More severe cases may require oral tetracycline
or minocin. Rosacea is more common in individuals with fair complexions,
with women affected at a higher rate than men. Patients who are
from ethnic backgrounds such as Great Britain (including Ireland,
Scotland and Wales), Germany and Scandinavia tend to be more likely
candidates, although anyone can develop rosacea. This disease typically
develops anywhere between the ages of 30-50. What causes rosacea
is still unknown. We do know that the skin form of rosacea is more
common in patients who had significant acne earlier in life or have
a family history of rosacea.
Seborrheic dermatitis and rosacea are closely related, they
both involve inflammation of the oil glands. Rosacea also involves
a vascular component causing flushing and broken blood vessels.
Seborrheic dermatitis may involve the presence of somewhat greasy
flaking involving the area composed of the forehead, nose and around
the mouth, crusts, scales, itching and occasionally burning, and
may also be found on the scalp, ears and torso. It does not usually
involve red bumps as in Rosacea.
Just to confuse things further, the two conditions are often
seen together.
A "cure" in the traditional sense is not readily available, however
symptoms can normally be reduced to a manageable level. There are
plenty of treatment options. An evaluation by an ophthalmologist
and/or dermatologist is advised.
If you are ready to choose a doctor to be evaluated for conventional
or custom
wavefront
Lasik,
All-Laser Lasik,
PRK,
LASEK,
Epi-Lasik,
NearVision CK,
RLE, or any
refractive surgery procedure, we highly recommend you consider
a doctor who has been evaluated and certified by the USAEyes
nonprofit organization. Locate a USAEyes Evaluated & Certified
Lasik Laser Eye Surgery Doctor.
If this article did not fully answer your questions, use our
free
Ask Lasik Expert patient forum.
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Current Ocular Rosacea Medical Journal News...
Contact allergy in patients with rosacea: a clinic-based, prospective epidemiological study.
Contact allergy in patients with rosacea: a clinic-based, prospective epidemiological study.
J Eur Acad Dermatol Venereol. 2008 Apr 29;
Authors: Jappe U, Schäfer T, Schnuch A, Uter W
Background Rosacea is a relatively common inflammatory skin disease of unknown prevalence. The proportion of contact allergy complicating rosacea and its therapy, respectively, is largely unknown. Objective To estimate the prevalence of specific contact allergy in rosacea patients and to compare this with the prevalence observed in the general population and in general patch test patients. Patients/methods In this prospective monocentre study, 78 patients with rosacea were investigated for contact sensitizations via patch testing the standard series, constituents of topical formulations, preservatives, fragrances, topically applied drugs and, if available, patient's own products. Results Positive reactions occurred to nickel (II) sulphate (12 of 78, 15.4%), fragrance mix I (4 of 77, 5.2%), balsam of Peru (8 of 77, 10.4%; significantly elevated prevalence compared to that observed in the population-based KORA study), potassium dichromate (4 of 78, 5.1%) and Lyral (3 of 78, 3.8%). Regarding topical antibiotics, only 1 of 78 (1.3%) patients was positive to neomycin sulphate, and none to metronidazole; however, 6 of 75 (8%) patients were positive to gentamicin sulphate, and 4 of 76 (5.3%) patients were positive to framycetin sulphate. No allergic but irritant patch test reactions, instead, were provoked by various patients' own products as well as by the irritant sodium lauryl sulphate (SLS) even in low concentrations. Conclusion Despite the limited power of the study, a strikingly high prevalence of contact allergy to gentamicin sulphate was observed, which is probably due to antibiotic treatment of rosacea-associated eye symptoms. The reactions to the irritant SLS probably mirror the extreme skin sensitivity in rosacea.
PMID: 18452530 [PubMed - as supplied by publisher]
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Contact allergy in patients with rosacea: a clinic-based, prospective epidemiological study.
Contact allergy in patients with rosacea: a clinic-based, prospective epidemiological study.
J Eur Acad Dermatol Venereol. 2008 Apr 29;
Authors: Jappe U, Schäfer T, Schnuch A, Uter W
Background Rosacea is a relatively common inflammatory skin disease of unknown prevalence. The proportion of contact allergy complicating rosacea and its therapy, respectively, is largely unknown. Objective To estimate the prevalence of specific contact allergy in rosacea patients and to compare this with the prevalence observed in the general population and in general patch test patients. Patients/methods In this prospective monocentre study, 78 patients with rosacea were investigated for contact sensitizations via patch testing the standard series, constituents of topical formulations, preservatives, fragrances, topically applied drugs and, if available, patient's own products. Results Positive reactions occurred to nickel (II) sulphate (12 of 78, 15.4%), fragrance mix I (4 of 77, 5.2%), balsam of Peru (8 of 77, 10.4%; significantly elevated prevalence compared to that observed in the population-based KORA study), potassium dichromate (4 of 78, 5.1%) and Lyral (3 of 78, 3.8%). Regarding topical antibiotics, only 1 of 78 (1.3%) patients was positive to neomycin sulphate, and none to metronidazole; however, 6 of 75 (8%) patients were positive to gentamicin sulphate, and 4 of 76 (5.3%) patients were positive to framycetin sulphate. No allergic but irritant patch test reactions, instead, were provoked by various patients' own products as well as by the irritant sodium lauryl sulphate (SLS) even in low concentrations. Conclusion Despite the limited power of the study, a strikingly high prevalence of contact allergy to gentamicin sulphate was observed, which is probably due to antibiotic treatment of rosacea-associated eye symptoms. The reactions to the irritant SLS probably mirror the extreme skin sensitivity in rosacea.
PMID: 18452530 [PubMed - as supplied by publisher]
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Ocular Rosacea
Last updated
Tuesday, May 06, 2008
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