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Paediatric ocular rosacea: diagnosis and management with an eyelid-warming device and topical azithromycin 1.5% - ScienceDirect
'The diagnosis of ocular rosacea in these children was delayed for several months or years from the first identifiable clinical sign or symptom. All the children presented with corneal sequelae and decreased vision. Ocular manifestations included meibomian gland disease, recurrent chalazia, and phlyctenular keratoconjunctivitis. Cutaneous signs were not always associated with the condition. Ocular rosacea was usually resistant to initial treatments with antibiotics and topical corticosteroids. Treatment with the eyelid-warming device in combination with azithromycin 1.5% led to a rapid improvement in the clinical signs and was well tolerated by all patients.'
UK LittleMermaid managed ocular rosacea from 12y, now adult - cornea dot lesions, photophobia, epiphora, red vessels across limbus, vision loss. Red flag diagnosis by Consulting Pharmacist with a magnifying glass, love them. Diagnosis and managment by Paediatric Ophthalmologist in tertiary children's eye clinic (as Moorfields Eye Hospital London protocols). We used PubMed, American Academy of Ophthalmology guidelines, UK NICE pathway guidelines for access to treatment, local health trust Drug Formulary for criteria and PF options.
This is steroid-induced periorificial rosacea (Clotrimazole with hydrocortisone previously used 28 days bd on face for fungal rash picked up at camp). We do use eye steroids or Cyclosporine, antibiotics (PubMed Moorfields protocols for child blepharokeratoconjunctivitis). Community eye pressure checks very important, especially starting a new course of steroids. Azaleic Acid on face, topical or oral antibiotics. Sensitivities cause flares.
Difficult to express our gratitude to Rebecca and people here who responded with practical experience and kindness. LM works in hospitals now, maybe near you. Be good to your docs. And show them the research.
'The diagnosis of ocular rosacea in these children was delayed for several months or years from the first identifiable clinical sign or symptom. All the children presented with corneal sequelae and decreased vision. Ocular manifestations included meibomian gland disease, recurrent chalazia, and phlyctenular keratoconjunctivitis. Cutaneous signs were not always associated with the condition. Ocular rosacea was usually resistant to initial treatments with antibiotics and topical corticosteroids. Treatment with the eyelid-warming device in combination with azithromycin 1.5% led to a rapid improvement in the clinical signs and was well tolerated by all patients.'
UK LittleMermaid managed ocular rosacea from 12y, now adult - cornea dot lesions, photophobia, epiphora, red vessels across limbus, vision loss. Red flag diagnosis by Consulting Pharmacist with a magnifying glass, love them. Diagnosis and managment by Paediatric Ophthalmologist in tertiary children's eye clinic (as Moorfields Eye Hospital London protocols). We used PubMed, American Academy of Ophthalmology guidelines, UK NICE pathway guidelines for access to treatment, local health trust Drug Formulary for criteria and PF options.
This is steroid-induced periorificial rosacea (Clotrimazole with hydrocortisone previously used 28 days bd on face for fungal rash picked up at camp). We do use eye steroids or Cyclosporine, antibiotics (PubMed Moorfields protocols for child blepharokeratoconjunctivitis). Community eye pressure checks very important, especially starting a new course of steroids. Azaleic Acid on face, topical or oral antibiotics. Sensitivities cause flares.
Difficult to express our gratitude to Rebecca and people here who responded with practical experience and kindness. LM works in hospitals now, maybe near you. Be good to your docs. And show them the research.
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