Research progress on ocular rosacea

Rosacea is a chronic inflammatory disease affecting the central face, with approximately 6% to 72% of patients experiencing ocular involvement. Ocular rosacea shares a similar pathogenesis with cutaneous rosacea, involving immune responses, neurovascular dysfunction, and alterations in the ocular mi...

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Main Authors: WANG Xiaoyan, ZHANG Yingpeng
Format: Article
Language:zho
Published: editoiral office of Journal of Diagnosis and Therapy on Dermato-venereology 2025-05-01
Series:Pifu-xingbing zhenliaoxue zazhi
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Online Access:http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2025.05.011
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author WANG Xiaoyan
ZHANG Yingpeng
author_facet WANG Xiaoyan
ZHANG Yingpeng
author_sort WANG Xiaoyan
collection DOAJ
description Rosacea is a chronic inflammatory disease affecting the central face, with approximately 6% to 72% of patients experiencing ocular involvement. Ocular rosacea shares a similar pathogenesis with cutaneous rosacea, involving immune responses, neurovascular dysfunction, and alterations in the ocular microbiome, which contribute to inflammation and meibomian gland dysfunction. Common ocular manifestations include conjunctivitis, blepharitis, keratitis, and telangiectasia of the lid margin. However, these clinical features are nonspecific making diagnosis challenging, especially blepharokeratoconjunctivitis in children, where the absence of skin symptoms often leads to misdiagnosis or missed diagnosis. Current treatment emphasizes a gradual and stepwise approach, with most management being empirical and symptomatic. Further exploration of effective, targeted treatment options is necessary. This article reviews the pathogenesis, clinical manifestations, diagnosis, and treatment advancements of ocular rosacea to enhance clinicians' understanding of this disease.
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publishDate 2025-05-01
publisher editoiral office of Journal of Diagnosis and Therapy on Dermato-venereology
record_format Article
series Pifu-xingbing zhenliaoxue zazhi
spelling doaj-art-14e16edeadf149ec99613f417f0cba122025-08-20T03:15:54Zzhoeditoiral office of Journal of Diagnosis and Therapy on Dermato-venereologyPifu-xingbing zhenliaoxue zazhi1674-84682025-05-0132537137610.3969/j.issn.1674-8468.2025.05.011Research progress on ocular rosaceaWANG Xiaoyan0ZHANG Yingpeng1Second Affiliated Hospital of Nanchang University, Nanchang 330006, ChinaSecond Affiliated Hospital of Nanchang University, Nanchang 330006, ChinaRosacea is a chronic inflammatory disease affecting the central face, with approximately 6% to 72% of patients experiencing ocular involvement. Ocular rosacea shares a similar pathogenesis with cutaneous rosacea, involving immune responses, neurovascular dysfunction, and alterations in the ocular microbiome, which contribute to inflammation and meibomian gland dysfunction. Common ocular manifestations include conjunctivitis, blepharitis, keratitis, and telangiectasia of the lid margin. However, these clinical features are nonspecific making diagnosis challenging, especially blepharokeratoconjunctivitis in children, where the absence of skin symptoms often leads to misdiagnosis or missed diagnosis. Current treatment emphasizes a gradual and stepwise approach, with most management being empirical and symptomatic. Further exploration of effective, targeted treatment options is necessary. This article reviews the pathogenesis, clinical manifestations, diagnosis, and treatment advancements of ocular rosacea to enhance clinicians' understanding of this disease.http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2025.05.011ocular rosaceaadaptive immune systeminnate immune systemtlr-4
spellingShingle WANG Xiaoyan
ZHANG Yingpeng
Research progress on ocular rosacea
Pifu-xingbing zhenliaoxue zazhi
ocular rosacea
adaptive immune system
innate immune system
tlr-4
title Research progress on ocular rosacea
title_full Research progress on ocular rosacea
title_fullStr Research progress on ocular rosacea
title_full_unstemmed Research progress on ocular rosacea
title_short Research progress on ocular rosacea
title_sort research progress on ocular rosacea
topic ocular rosacea
adaptive immune system
innate immune system
tlr-4
url http://pfxbzlx.gdvdc.com/EN/10.3969/j.issn.1674-8468.2025.05.011
work_keys_str_mv AT wangxiaoyan researchprogressonocularrosacea
AT zhangyingpeng researchprogressonocularrosacea