ESCRS - P141 - OCULAR ROSACEA; DIAGNOSTIC PROFILS AND THERAPEUTIC DIFFICULTIES

OCULAR ROSACEA; DIAGNOSTIC PROFILS AND THERAPEUTIC DIFFICULTIES

Published 2022 - 26th ESCRS Winter Meeting

Reference: P141 | Type: Abstracts | DOI: 10.82333/ckfy-8927

Authors: Hamidallah Doha* 1 , omar nabih 1 , elmaaloum loubna 1 , allali bouchra 1 , kettani asmaa 2

1ophtalmology,20 aout,Casablanca,Morocco, 2ophtalmology,MOROCCO,Casablanca,Morocco

Purpose

The purpose of our work is to determine the incidence of ocular involvement in a population monitored for ocular rosacea in the ophthalmology service at the university hospital of CASABLANCA, while aknowlging the diagnostic elements and the therapeutic difficulties..

 

Setting

Ocular rosacea is a complication of a common condition called cutaneous rosacea. The physiopathology of this eyelid complication is not clearly known and goes down to a dysfunction of the secretion of the meibomian glands.

Methods

During the period from January 2020 to September 2021

 we examined the eyes of 60 patients with rosacea with ​​all degrees of severity who had a follow up at the ophthalmology department of the IBN ROCHD CASABLANCA University Hospital Center morocco.

 

Results

During this period 60 patients consulted the dermatology department for cutaneous rosacea;

About 14 patients (20%) presented ocular rosacea.

The average age of patients with rosacea was 43 years (16 to 70 years), with a clear predominance of women

10 patients with ophthalmologic manifestations presented with mild to moderate erythematotelangiectatic rosacea.

Ocular involvement was bilateral in 90% of patients

 

The main ophthalmologic manifestations were dominated by chronic blepharitis (100% of patients), superficial punctate keratitis with altered BUT in 70.% of patients, 8 patients presented with chalazion, 2 patients had entropion, and 1 patient only  presented phlyctenular conjunctivitis, corneal ulcer in 2 patients and corneal abscess in 1 patienT

Medical treatment in all of our patients consisted in eyelid hygiene measures combined with topical azthromycin. 

Systemic cyclins have been used apart from their contraindications.

 The children were treated with macrolides.

  26 patients  started Local corticosteroid   

 

Patients with entropion have undergone a surgical cure after the inflammatory outbreak had subsided

 

the patient with a corneal abscess required hospitalization with local and general antibiotic therapy based on fortified eye drops.

 

A clinical improvement were noticed in the majority of patients with stabilization of the lesions.

Conclusion

ocular rosacea is quite common.

 

It is often unrecognized, sometimes progressing insidiously to serious complications.

 

Collaboration between ophthalmologists and dermatologists is necessary for better management of the disease.