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Spontaneous bilateral corneal perforation in ocular Rosacea
Francesco Pellegrini1, Agatino Vincigiuerra1, Antonio De Maria1
1Department of Ophthalmology, ASFO, Pordenone (PN), Italy.
Purpose:
To report a rare case of a 19-year-old girl who presented with spontaneous bilateral corneal perforation in a setting of ocular rosacea.
Methods:
Ocular rosacea was diagnosed and treated with doxycycline. Cyanoacrylate glue was applied to treat corneal perforations.
Results:
At six months follow up there is good healing, visual acuity has improved, anterior chamber is deep with no Seidel.
Conclusions:
Rosacea is a multifactorial disease with an unclear pathophysiology. The ocular manifestations of rosacea (ocular rosacea) may occur without skin involvement, are not specific and can range from mild blepharitis to sight-threatening conditions. This case shows how ocular rosacea can lead to serious vision-threatening complications with mild symptoms. Cyanoacrylate glue and systemic antibiotic treatment are effective treatments.
