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Rosacea keratitis
Medical expert of the article
Last reviewed: 04.07.2025
[ Symptoms of Rosacea Keratitis
Rosacea keratitis begins with the appearance of one or more infiltrating nodules. Their surface erodes, then the infiltrate necrosing. Superficial newly formed vessels approach the ulcer that has formed. Pericorneal injection of vessels and the triad of corneal symptoms are clearly expressed. Epithelialization of the defect may occur in 3-4 weeks. The eye calms down, but not for long. Along with a new attack of rosacea on the face, a new nodule (or nodules) of infiltration in the cornea appears with the formation of a deeper ulcer and the ingrowth of new vessels. During the scarring period, a vascularized leukoma with bright white calcareous inclusions is formed. Subsequent relapses become more frequent. The ulcer in one eye heals, and a few days later it opens in the other. Sometimes patients do not have time to go to work, as inflammation appears in the other eye.
Frequent recurrence leads to disability. Layered scars thin and deform the cornea, often forming fistulas. Visual acuity decreases with each new exacerbation.
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Treatment of rosacea keratitis
Treatment of the general disease is prescribed by a dermatologist. Local treatment of keratitis is carried out according to the general scheme. During the period of relapse, mydriatics are instilled to prevent iridocyclitis. In complicated cases, penetrating keratoplasty is indicated.