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Thread: Laser Treatment for Ocular Rosacea?

  1. #1
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    Default Laser Treatment for Ocular Rosacea?

    I get this question a lot. I also receive a lot of anecdotal reports from physicians and patients on this subject. I finally dove into the subject to find facts and anatomical targets best suited for this form of treatment.

    Laser treatment can help many ocular rosacea sufferers. This especially holds true if the ocular rosacea is primarily vascular in origin.

    By treating several branches of the angular artery supplying the upper and lower eye lids and the conjunctiva (clear membrane across the eye), significant relief can be obtained in ocular rosacea sufferers.

    Based on the anatomy, a laser specialist should focus their treatment on the bridge of the nose, both sides of the nose up to the bottom of the eyebrows and a small area where your upper cheek meets the side of your nose. These are the three most important anatomical locations to focus on for vascular ocular rosacea because these are the angular artery supply lines into the aforementioned eye areas.

    However, it should be noted that many cases of ocular rosacea are a combination of vascular rosacea and low grade bacterial infections (e.g. meibomitis). Doxycyline is the most often recommended antibiotic for this form of ocular rosacea, but it needs to be at normal antibacterial doses (50 mgs twice a day; 100 mgs twice a day; or 100 mgs three times a day). Of course this will be up to your physician. It is germane to point out that Periostat or Oracea will not be helpful for these cases because they have no action on bacteria. After the low grade bacterial infection has been treated for 4 to 6 months, then it might be wise to try the lower submicrobial doxycycline dose to maintain remission.

    As always, these decisions will be up to your own physician.

  2. #2
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    Dr. Nase:

    Would you be able to give out the name & location of that laser specialist you talked about in an earlier post that uses the lumenis to help with blood vessel removal on the eye surface. And are their a lot of people who have gone to him for this purpose and who have been succesfully cleared? Does it also help with teh dryness/burning or just redness? Thanks, it really means a lot because the ocular component of rosacea is so painful and debilitating. -Chris

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    I was wondering about this same subject - namely, can IPL help ocular rosacea (either from facial IPL or from IPL directly on the eyelids)? A quick Google search turned up the following (seemingly legit) articles:

    http://rosacea-support.org/ipl-good-...-eyes-too.html

    http://dryeyedigest.blogspot.com/200...l-for-mgd.html

    http://www.sciencedirect.com/science...sion=0&_userid

    Does anyone have personal experience with IPL (or other laser therapy) and ocular rosacea?

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    In my experience, when you get the facial flushing under control, the ocular rosacea dissipates.

    It took me almost a hundred IPL's and now Clonidine and Remeron, but my ghastly flushing is now under control and my ocular rosacea, which had been horrific, is almost totally cleared.

    I'm starting the V Beam Perfecta and so far, after just two hot treatments, am impressed. Jury's still out, though, it takes a while to see the results of laser treatments IMHO.

  5. #5
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    using elidel at night, taking atelenol, had 2 vbeam laser treatments, 46 year old female

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    http://www.rosaceagroup.org/The_Rosa...ad.php?t=19303

    I don't know of anyone who has gone to him though.
    I do agree with WC in that when you have laser or IPL on your face or any other treatment that calms your flushing it seems to help other areas like ears and eyes.

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