# Ocular Rosacea: Don’t Forget Eyelids and Skin in the Assessment of This Stubborn Ocular Surface Disease

## TL;DR

This paper discusses the importance of examining eyelids and skin to properly diagnose and manage ocular rosacea, an often-misdiagnosed eye condition.

## Contribution

The paper introduces a case study emphasizing the need for integrated ocular and dermatological assessments in diagnosing ocular rosacea.

## Key findings

- A 69-year-old patient was correctly diagnosed with ocular rosacea after an initial misdiagnosis of dry eye disease.
- Combining systemic and local therapies with eyelid hygiene improved ocular surface parameters and symptom scores.
- Comprehensive evaluation of eyelid and skin features is crucial for accurate diagnosis and effective management of ocular rosacea.

## Abstract

Ocular rosacea, a subset of rosacea affecting the ocular surface, poses a diagnostic challenge due to its elusive presentation and overlapping symptoms with other ocular surface diseases (OSDs). This report emphasizes the critical role of a comprehensive evaluation, particularly focusing on eyelid and skin assessment, in diagnosing and effectively managing ocular rosacea-related ocular surface symptoms. The case study highlights a 69-year-old female initially diagnosed with common dry eye disease, subsequently identified with ocular rosacea following a meticulous examination revealing subtle ocular and skin manifestations. Treatment encompassed a tailored approach combining systemic and local therapies, emphasizing proper eyelid hygiene. Objective improvements were observed in ocular surface parameters and patient-reported symptom scores, showcasing the significance of an integrated approach addressing ocular and dermatological aspects in managing ocular rosacea. This report underscores the importance of heightened clinical suspicion, thorough assessments, and comprehensive management strategies in optimizing outcomes for patients with OSD, particularly ocular rosacea.