Síntomas de Rosacea Ocular

Published in Dermatology

Journal Scan / Research · June 12, 2022

Clinical Clues to Identify Patients With Ocular Rosacea

International Journal of Dermatology

TAKE-HOME MESSAGE

• According to the results of this analysis based on a detailed questionnaire administered to 777 German patients with rosacea, 51.4% reported ocular symptoms, including eye redness, dryness, itching, and sty or chalazion. Of note, 45.3% of patients who consulted an ophthalmologist were diagnosed with ocular rosacea; those with self-reported ocular symptoms had significantly more cutaneous rosacea findings and poorer quality of life. Patients with dry to mixed skin also reported more frequent ocular symptoms compared with those with normal or oily skin.

• Ocular rosacea often goes undiagnosed. Therefore, it is imperative to thoroughly screen patients with rosacea for ocular symptoms and refer to an ophthalmologist when symptoms are present.

–  Ruth McTighe, MD

Written by

 

 

Robert T. Brodell MD, FAAD

After sharing a waiting room with an ophthalmologist for 27 years (Linda Brodell, MD), I can attest to the fact that many of my rosacea patients with red eyes, gritty sensation, itching, dryness, pruritus, and sty/chalazion often were made more comfortable after specific ocular treatment was initiated. Dermatologists should have a low threshold for referring their rosacea patients to the ophthalmologist for an examination when they have any of these signs or symptoms to make a definitive diagnosis and plan appropriate treatment.

Abstract

BACKGROUND AND OBJECTIVES

Ocular rosacea is a special manifestation of rosacea with unknown etiology. Eye involvement in rosacea patients is surprisingly common; however, it is often underdiagnosed, resulting in inappropriate treatment. We aimed to provide an updated epidemiologic perspective on ocular rosacea in Germany to improve patient care.

PATIENTS AND METHODS

Data of 777 rosacea patients were assessed using a detailed online questionnaire regarding ocular and skin symptoms, previous dermatological and ophthalmological consults, presence of type 1 hypersensitivities, and Demodex testing. All data were statistically analyzed.

RESULTS

Most patients reported ocular symptoms (399/777, 51.4%), including red eyes (179/399, 44.9%), itching (187/399, 46.9%), sty or chalazion (309/399, 77.4%), and dryness (108/399, 27.1%). Ocular rosacea was confirmed in 149/309 cases who consulted an ophthalmologist (45.3%). A total of 159/399 (39.8%) had no pre-existing allergies. Eye involvement was significantly associated with the presence of skin symptoms (P < 0.05), impacting patients' general well-being and overall treatment satisfaction. About half of Demodex-positive patients (21/45, 46.7%) showed ocular symptoms.

CONCLUSIONS

Eye involvement in rosacea patients was common, often presenting with unspecific symptoms.

International Journal of Dermatology

Clinical clues to identify patients with ocular rosacea - a Germany-wide epidemiologic analysis

Int. J. Dermatol 2022 May 17;[EPub Ahead of Print], S Zierl, JA Hildebrand, A Guertler, C Dietrich, BM Clanner-Engelshofen, LE French, M Reinholz 

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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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