Swollen Eyelids May Mean Ocular Rosacea

Written by on January 10, 2006 in eyelid care, Ocular Rosacea with 4 Comments

This article is suggesting that swelling around your eyes may be an initial indicator of ocular rosacea. If you are suffering from swollen eyelids then rosacea as a diagnosis may be worth exploring. Often it is only after the facial skin has been diagnosed with rosacea does the possibility of ocular rosacea get explored.

Periocular Edema May Point to Rosacea Diagnosis, Skin and Allergy News, Volume 36, Issue 10, Page 25 (October 2005)

“Periocular edema may be an underappreciated sign of rosacea, sometimes even preceding ocular and skin surface signs of the disorder”, said Adelaide A. Hebert, M.D., at the annual meeting of the Pacific Dermatologic Association.

Periorbital edema may be one of the earliest signs of rosacea, and may point to the diagnosis. In some cases, it may accompany direct ocular symptoms, which include burning and stinging, a sensation of a foreign body in the eye, and photophobia.

One article that heightened Dr. Hebert’s interest in the topic described a 51-year-old man with a 12-month history of progressive swelling of the left eyelid that had resulted in total unilateral ptosis (Acta. Ophthalmol. Scand. 2004;82:765–7). A diagnosis of rosacea wasn’t even considered until a biopsy revealed dermal edema with lymphangiectasia and telangiectasia and evidence of chronic inflammation.

Periorbital edema may be one of the earliest signs of rosacea, and may point to the diagnosis. In some cases, it may accompany direct ocular symptoms, which include burning and stinging, a sensation of a foreign body in the eye, and photophobia.

Early recognition of ocular rosacea is important to prevent serious sequelae, including ocular ulcers, stressed Dr. Hebert. Although rare, ocular rosacea can even present in children, she noted, referring to a recently published case series of six patients, aged 3-12 years (Am. J. Ophthalmol. 2004;137:138-44).

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Read more about: eyelid care, Ocular Rosacea

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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4 Reader Comments

  1. JIM says:

    I have been getting up in the morning with severe swelling around my eyes. It keeps getting worse every day as though the skin is tight and stretching and then it swells more after it stretches. It is horrible. I can not find any help. I have Roasea.
    This is a nightmare I have lived with my whole life but recently it has gotten to the point where it is disfiguring my face.

  2. robert j. whaley says:

    I have a serious case of Roasea for a couple of months. My doctor , said is one of the worst case he has ever seen. Not knowing how it came about , we have trying few combinations , with not much luck. But , till now ,I’m on doxycycline hycllate 100 mg. twice a day. It’s a generic for vibramycin. twice daily. 100 mg and a cream called econazole nitrate , 1 o/o. twice daily in effected area’s of the face.My face seem to be getting a little better by the weeks. Now my big trouble , is my eyes. I have had a couple of styes on one upper eyelid ,which I removed by using warmed moistioned water and tea bags on it several times. Now the itching ,burning and swelling is the problem . With that condition the rubbing caused a injured blood visal in one fo the eyes, which only time will heal. Eye doctor, suggested I use systane ultra eye drops every 2 hours daily. for dyeness. And, another eye drop call azasite 1 drop in each eye .once a day for the swelling. Do you have any other suggestion, that will help one in need. RJW

  3. Hi Robert,

    A good place to start with options on treating ocular symptoms is treating ocular rosacea and also the ocular rosacea forum.

    Stick with your opthamologist as you want all your serious ocular symptoms to be dealt with.


  4. Jeff Barnes says:

    I was diagnosed with Rosacea about 5 years ago (Im 43 now) I tried various antibiotics as well as Acutane. None of the antibiotics (oral or topical)made much differerce, the Acutane did provide some lasting benefit however it is not a drug I wanted to take indefintely. Ultimately I became aware of Flax Seed Oil as a possible remedy. I started taking 2 tablespoons of flax seed oil, (1tbsp 2x) per day 2.5 years ago. Within 1 month I began noticing less redness and irriation in my face. The effect has continued and now my face in 80% better than it was when I started with the flax seed oil. I found the flax seed capsules not as effective as the oil itself. Ive also noticed tea tree oil used topically works very well. I wash my face twice a day with Cetaphil or something similar. I also mix a few drops of tea tree oil with Cetaphil moisturizer 1x per day. If youre having chronic problems with your Rosacea Id highly recommend you try this regimen. It ‘s cheap and effective!

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