Rosacea and its management: an overview

Abstract

With the wide variety of oral and topical agents available for the effective management of rosacea, patients no longer need to feel self-conscious because of their disorder.

Ocular rosacea: a review

“…Oral tetracycline and doxycycline have been used to successfully treat ocular rosacea as an adjunct therapy to topical treatment (60,61,83,97) . As in the management of skin rosacea, tetracyclines may be initially administered 500 mg b.i.d.…”

“…Broad-spectrum sunscreen should be used daily for photoprotection (11) . Appropriate use of concealing makeup may help disguise upsetting facial features (83) . Patients should be informed about the need and importance of regular eye exams (4) .…”

“…Management of mild ocular rosacea requires local measures such as warm compresses, lid hygiene with neutral baby shampoo and instillation of lubricating drops (2,83) . Thicker lubricating agents, such as gels and ointments, may be prescribed for more symptomatic dry eyes to promote longer-lasting relief.…”

Novel Photopneumatic Therapy for the Treatment of Rosacea

“…This supports the role of PPx for dermal collagen remodeling and improving the skin texture because PPx and these lasers overlap in the wavelength range. The exact etiology of rosacea is unclear, but a main pathogenic factor of rosacea appears to be loose dermal connective tissue that allows for passive dilation of the vessels and so this manifests as erythema and telangiectasia, and the extravascular leakage of inflammatory mediators causes inflammatory papules and pustules 1,6,17,18 . Therefore, PPx can improve rosacea by effectively ablating abnormal vessels and it might also improve the dermal extracellular matrix abnormalities and elastotic degeneration by stimulating remodeling of the dermal collagen.…”

Patterns of ambulatory care usage and leading treatments for rosacea

“…Since facial redness carries social meaning, the triggers that motivate patients to seek care for rosacea may include incidents in which facial erythema is misinterpreted in social contexts by others who do not understand the disease process (2). Papules and pustules respond well to standard treatments, but only recently have treatments been developed that are highly effective in reducing redness (3,4). Frustration with treatments that do not relieve redness symptoms, as well as the intermittent, flaring nature of the disease in many patients, may contribute to poor adherence to rosacea treatment (5,6).…”