Rosacea

Eyelid rosacea: symptoms, causes and effective treatments

frau mit rosacea im gesicht

Eyelid rosacea, also known as ocular rosacea or ophthalmorosacea, is a lesser known but common form of rosacea. While many of us are familiar with the classic reddening of the skin on the face as a symptom of this chronic skin condition, the eyes can also be affected by rosacea. It causes non-specific symptoms such as irritated, swollen and red eyelids and a feeling of dryness, which often leads to misdiagnosis. This form of rosacea is particularly dangerous if it remains undetected, as it can lead to serious eye problems.

What is eyelid rosacea?

Rosacea of the eyelids is a chronic inflammatory disease in which the blood vessels around the eyes dilate. This leads to redness and swelling of the edges of the eyelids as well as irritated, watery eyes. In more severe cases in particular, rosacea of the eye can even affect the cornea and conjunctiva and cause inflammation. In around 20% of cases, eyelid rosacea can also be a harbinger of later rosacea on the face.

Common symptoms of ocular rosacea

Typical symptoms of eyelid rosacea include:

  • Swollen and reddened eyelids
  • Burning or itchy eyes
  • Light sensitivity
  • Foreign body sensation in the eye
  • Excessive tearing and redness of the eyes
  • Inflammation of the eyelid margins (blepharitis)
  • Conjunctivitis (inflammation of the conjunctiva )
  • Keratitis (inflammation of the cornea), which can lead to vision problems

Those affected often experience an unpleasant feeling of dryness, even though their eyes are watering heavily at the same time. This is the result of impaired tear production caused by inflammation of the meibomian glands – tiny glands at the edge of the eyelid that regulate sebum production.

Causes of rosacea of the eyelids

Similar to classic facial rosacea, rosacea of the eyelids has various causes, including:

  • Genetic predisposition
  • Environmental influences such as strong sunlight or wind
  • Stress and psychological factors
  • Bacterial infections
  • Dysfunction of the meibomian glands (blockage of the sebaceous glands)
  • Hair follicle mites on the eyelashes

It is believed that there is a genetic predisposition to rosacea, but external factors such as UV radiation and stress can exacerbate the symptoms. Meibomian gland dysfunction in particular, where the sebaceous glands at the edge of the eyelid are blocked, plays a central role in the development of ocular rosacea.

Rosacea eyelid treatment: therapy options

Although eyelid rosacea cannot be cured, there are various treatment approaches to alleviate the symptoms and prevent worsening. The most important measures include

  • Eyelid margin care: Regular cleaning of the eyelids can help to remove incrustations and secretions. Heat treatment of the eyelids helps to loosen blockages in the sebaceous glands.
  • Topical treatment: Eye drops or anti-inflammatory ointments are often used to relieve acute symptoms.
  • Drug therapy: In severe cases, oral antibiotics or anti-inflammatory drugs may be prescribed.

The daily use of moist cotton buds to gently cleanse the eyelids and the use of tear substitutes are simple but effective measures to alleviate the symptoms.

How to prevent eyelid rosacea

Preventive measures also play an important role in rosacea of the eyelids. Here are some tips:

Avoid stress: As stress often triggers an attack of rosacea, you should pay attention to relaxation techniques and sufficient sleep.e, but effective measures to alleviate the symptoms.

Sun protection: Apply sunscreen regularly and avoid direct sunlight. Use sunglasses to protect your light-sensitive eyes.

Avoid irritants: Look out for mild, fragrance-free care products and avoid extreme temperatures.

Healthy diet: Avoid spicy foods and alcoholic drinks, as these can trigger flare-ups.

Conclusion

Eyelid rosacea is a serious condition that not only affects the eyes, but in many cases can be a sign of later rosacea on the face. However, early diagnosis and customized treatment of rosacea on the eyelids can help to control the symptoms. Those affected should pay attention to consistent eyelid and eye care in order to improve their quality of life and prevent further complications.

About the article

Author: Katharina Hillinger

“Our skin nourishes, detoxifies and protects our body. But in order for it to fulfill its functions, our skin flora must be in balance. Healthy skin is characterized by a diverse ecosystem of microbes that form a kind of protective shield.”

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