“…The elevated expression of the cytokines IL-1b, IL-6, IL-8, and TNF-a has been shown in a number of inflammatory cornea pathologies. 30,31 The elevation of these cytokines results in angiogenesis, inflammation, and sterile ulcer formation due to their upregulation of MMP-9. [31][32][33] However, a recent study demonstrated no increase in these cytokines in the tear fluid of rosacea patients and an upregulation of these cytokines in ocular rosacea patients was not observed.…”