Ocular rosacea

Ocular rosacea
SYMPTOMS Dryness | Irritation | Burning
SIGNS Eyelid and facial erythema | Telangiectasias
WORK-UP Thorough history. Slit lamp examination
TREATMENT Eyelid hygiene | Intense pulsed light | Doxycycline 50mg qd | Omega-3 supplementation
FOLLOW-UP Depends on severity. Significant symptoms may warrant follow-ups every 4-6 months.
ADDITIONAL LAB | TESTS None
ETIOLOGY Unknown, likely altered immune function
DIFFERENTIAL DX Blepharitis | Atopic dermatitis | Contact dermatitis | Lupus
NOTES Many potential stressors (spicy foods, alcohol, etc.)