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  • Eyelid: Telangiectasia at the eyelid margin and posterior blepharitis; often with recurrent hordeola
  • Conjunctiva: Conjunctival granulomas, phlyctenulosis
  • Cornea: Marginal keratitis, peripheral vascularisations

Local Therapy

  • e.g. Fucithalmic ointment (fusidic acid) for 4 weeks, consider additional Dexafree UD (dexamethasone)

Systemic Therapy

  • Oracea (doxycycline) 40mg 1x/d for 6 weeks
    • CAVE: hepatoxicity
    • Contraindication: children and pregnancy


  • Minocin Akne (Minocyclin) 50mg 2x/d for 6 weeks
    • CAVE: hepatotoxicity
    • Contraindication: children and pregnancy
  • Zithromax (azithromycin) 250mg 2x/d for 3d then pause for 7d, repeat for 4 cycles
    • CAVE: hepatotoxicity
  • Flagyl (metronidazole) 500mg 2x/d for 10d
    • CAVE: Antabus (disulfiram)


  • EyeWiki Ocular Rosacea
  • The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease; Nika Bagheri MD, Brynn Wajda MD, et al; Lippincott Williams&Wilkins; 7th Edition (2016)
  • Kanski’s Clinical Ophthalmology: A Systematic Approach; Jack J. Kanski MD, Brad Bowling MD; Saunders Ltd.; 8th Edition (2015)