Rosacea is a common condition affecting the skin of the face, with less frequent involvement of the eyes. Nonspecific ocular complications are similar to those found in patients with seborrhoea, blepharitis, recurrent chalazia, styes and trichiasis, hyperaemic conjunctivitis, with occasional marginal corneal infiltrates or ulcers. Specific complications include nodular conjunctivitis and episcleritis, which are rare, and the typical progressive keratitis which occurs in 5% of patients with rosacea.I Oxytetracycline given orally in low dosage for more than 6 weeks is a well recognised treatment for rosacea of the skin2' and is also reassuringly safe.7 Tetracycline has been used topically in ocular rosacea,8 and there is increasing evidence that rosacea keratitis may also respond to systemic tetracyclines.I "" I The purpose of this study was to assess the validity of these observations by means of a double-blind limited cross-over trial.
Material and methodsPatients attending dermatology clinics with confirmed rosacea were questioned for possible eye symptoms. Sixty-five were subsequently screened by an ophthalmologist and were admitted to the trial if Correspondence to Dr