What is Ocular Rosacea?

Some research has shown a possible link between rosacea and the bacteria called Helicobacter pylori – causing chronic reflux and gastritis . This bacterium also causes gastrointestinal infections.


What does it look like?

• Red, irritated, inflamed upper and or lower eyelids, especially base of eyelashes.

• Red or bloodshot eyes, burning or tearing, and the sensation of a foreign body in the eye.

• An infection of the eyelids

• Sensitive skin


Common Treatments

• Demodex and bacterial colonization control,

• exhibit vasomotor instability,

• require camouflaging of telangiectatic mats,

• inflammation reduction – topical and oral antibiotics

• vasoconstrictor formulations

• Cosmeceuticals enhancing Skin Barier Function.


Why is ocular rosacea reactive to washes and products?

• Cleansers can remove  lipids from the skin surface,

• surfactants remove sebum AND intercellular lipids.

• thorough removal of sebum, may also damage the intercellular lipids, resulting in barrier damage

• manifests as increased facial redness, stinging, burning, and itching.

• counterproductive to use an anti-inflammatory skin cleanser to treat rosacea when, in fact, it enhances inflammation and this is most likely the reason why PATIENTS cannot tolerate  ZO® or similar products and creams.


So what can PATIENTS use?

• Important to get medical opinion – patient see doctor/dermatologist

• If not possible – use ZO®  Hydrating cleanser only

• DO NOT use the scrub and pads AROUND THE EYES as this will affect the intercellular lipids – can use on the rest of the face AVOID THE EYES 🙂

• Best moisturisers to prevent facial rosacea flares combine occlusive and humectant ingredients – Use only the Daily Power Defence

• Use Sun protection


TO TAKE HOME – Underdiagnosed Condition  – BE ALERT 🙂


Photos: Recognition: Dr. Chapa & Virginia Eye Clinic