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Case report--ocular rosacea

P H Ng1, R L Yeoh, C H Low

  • 1Department of Ophthalmology, National University Hospital, Singapore.

Singapore Medical Journal
|February 1, 1996
PubMed
Summary

Ocular rosacea, a potentially blinding eye condition, is often missed by doctors, especially when skin symptoms are absent. Early detection and treatment are crucial for managing this uncommon disease.

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Area of Science:

  • Ophthalmology
  • Dermatology

Background:

  • Rosacea is an uncommon condition affecting the eyes and facial skin.
  • Ocular rosacea frequently goes undiagnosed, particularly when skin manifestations are not yet apparent.

Observation:

  • A case of ocular rosacea in a 14-year-old Chinese girl is presented.
  • The patient initially exhibited chronic, non-specific keratoconjunctivitis.
  • Characteristic corneal and facial skin lesions developed later in the disease progression.

Findings:

  • The patient's ocular rosacea responded to treatment with prednisolone eye drops and oral and topical tetracycline.
  • This case highlights diagnostic challenges when ocular symptoms precede skin lesions.

Implications:

  • Emphasizes the importance of considering ocular rosacea in cases of chronic keratoconjunctivitis, even without visible skin signs.
  • Suggests a need for increased awareness among ophthalmologists for early diagnosis and intervention to prevent vision loss.
  • Reports the first case of ocular rosacea in Singapore, contributing to regional medical literature.

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