Ocular Rosacea: an updated review

Purpose: Ocular rosacea is a chronic inflammatory disorder affecting the ocular surface, often associated with cutaneous rosacea. This review aims to explore its pathogenesis, treatment approaches, and future directions for management. Methods: A review of current literature on the pathophysiology...

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Main Authors: Mohamed Noriega, Karim, Loya Garcia, Denise, Vera Duarte, Guillermo Raul, Morales Wong, Fernando, Ortiz Morales, Gustavo, Navas, Alejandro, Graue Hernández, Enrique O., Ramirez Miranda, Arturo
Format: Article
Language:English
Published: Wolters Kluwer Health 2025
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Online Access:http://eprints.uanl.mx/29876/1/29876.pdf
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author Mohamed Noriega, Karim
Loya Garcia, Denise
Vera Duarte, Guillermo Raul
Morales Wong, Fernando
Ortiz Morales, Gustavo
Navas, Alejandro
Graue Hernández, Enrique O.
Ramirez Miranda, Arturo
author_facet Mohamed Noriega, Karim
Loya Garcia, Denise
Vera Duarte, Guillermo Raul
Morales Wong, Fernando
Ortiz Morales, Gustavo
Navas, Alejandro
Graue Hernández, Enrique O.
Ramirez Miranda, Arturo
author_sort Mohamed Noriega, Karim
collection Repositorio Institucional
description Purpose: Ocular rosacea is a chronic inflammatory disorder affecting the ocular surface, often associated with cutaneous rosacea. This review aims to explore its pathogenesis, treatment approaches, and future directions for management. Methods: A review of current literature on the pathophysiology, clinical features, and treatment strategies of ocular rosacea in adults and children (pediatric blepharokeratoconjunctivitis) was conducted. Emerging research on immune dysregulation, microbiome alterations, and potential therapeutic targets was analyzed. Results: Ocular rosacea involves dysregulation of the immune and neurovascular systems, with toll-like receptor activation and complement system involvement leading to chronic ocular surface inflammation. Alterations in the ocular microbiome have been implicated in disease progression. Treatment strategies emphasize a stepwise approach, incorporating ocular and skin hygiene, lifestyle modifications, and pharmacological interventions. Recent advancements in understanding the disease mechanisms have led to the exploration of targeted therapies, including biologics and small molecule inhibitors. Conclusions: Ocular rosacea remains challenging to diagnose and treat, particularly in children (pediatric blepharokeratoconjunctivitis), often leading to delayed intervention and poor outcomes. A multidisciplinary approach, including new therapeutic options, holds promise for improving patient care. Further research into the genetic and molecular basis of ocular rosacea may enable more personalized treatments.
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spelling eprints-298762025-07-07T17:45:25Z http://eprints.uanl.mx/29876/ Ocular Rosacea: an updated review Mohamed Noriega, Karim Loya Garcia, Denise Vera Duarte, Guillermo Raul Morales Wong, Fernando Ortiz Morales, Gustavo Navas, Alejandro Graue Hernández, Enrique O. Ramirez Miranda, Arturo RE Oftalmología Purpose: Ocular rosacea is a chronic inflammatory disorder affecting the ocular surface, often associated with cutaneous rosacea. This review aims to explore its pathogenesis, treatment approaches, and future directions for management. Methods: A review of current literature on the pathophysiology, clinical features, and treatment strategies of ocular rosacea in adults and children (pediatric blepharokeratoconjunctivitis) was conducted. Emerging research on immune dysregulation, microbiome alterations, and potential therapeutic targets was analyzed. Results: Ocular rosacea involves dysregulation of the immune and neurovascular systems, with toll-like receptor activation and complement system involvement leading to chronic ocular surface inflammation. Alterations in the ocular microbiome have been implicated in disease progression. Treatment strategies emphasize a stepwise approach, incorporating ocular and skin hygiene, lifestyle modifications, and pharmacological interventions. Recent advancements in understanding the disease mechanisms have led to the exploration of targeted therapies, including biologics and small molecule inhibitors. Conclusions: Ocular rosacea remains challenging to diagnose and treat, particularly in children (pediatric blepharokeratoconjunctivitis), often leading to delayed intervention and poor outcomes. A multidisciplinary approach, including new therapeutic options, holds promise for improving patient care. Further research into the genetic and molecular basis of ocular rosacea may enable more personalized treatments. Wolters Kluwer Health 2025-04 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/29876/1/29876.pdf http://eprints.uanl.mx/29876/1.haspreviewThumbnailVersion/29876.pdf Mohamed Noriega, Karim y Loya Garcia, Denise y Vera Duarte, Guillermo Raul y Morales Wong, Fernando y Ortiz Morales, Gustavo y Navas, Alejandro y Graue Hernández, Enrique O. y Ramirez Miranda, Arturo (2025) Ocular Rosacea: an updated review. Cornea, 44 (4). pp. 525-537. ISSN 0277-3740 doi:10.1097/ICO.0000000000003785
spellingShingle RE Oftalmología
Mohamed Noriega, Karim
Loya Garcia, Denise
Vera Duarte, Guillermo Raul
Morales Wong, Fernando
Ortiz Morales, Gustavo
Navas, Alejandro
Graue Hernández, Enrique O.
Ramirez Miranda, Arturo
Ocular Rosacea: an updated review
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Ocular Rosacea: an updated review
title_full Ocular Rosacea: an updated review
title_fullStr Ocular Rosacea: an updated review
title_full_unstemmed Ocular Rosacea: an updated review
title_short Ocular Rosacea: an updated review
title_sort ocular rosacea an updated review
topic RE Oftalmología
url http://eprints.uanl.mx/29876/1/29876.pdf
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