Ocular Rosacea

What is Ocular Rosacea

Rosacea is a dermatological condition that results in redness of the skin, dilated superficial blood vessels, cystic acne break outs, thickened skin and/or swelling. The facial flushing can even affect the ears and chest. It is unclear what exactly causes rosacea, but its more common in individuals with fair skin, a positive family history and it is thought that certain bacteria and the immune system play a role. Redness from Rosacea can be persistent or it can wax and wane and be brought on by certain triggers. Most commonly these triggers include sun exposure, alcohol, caffeine and spicy food. However, Rosacea can affect more than just your skin, it can cause lid and ocular surface disease in a condition called Ocular Rosacea.

How Ocular Rosacea Starts

Ocular Rosacea starts as a disease of the Meibomian glands. Meibomian glands run vertically within our upper and lower eyelids and excrete a little bit of oil, called meibum, every time we blink. Good quality meibum is crucial for a good quality and healthy tear film. When these glands become irritated, the tear film is unstable and unable to protect the ocular surface, resulting in pathology. The ocular surface disease can range from a mild dry eye to more severe conditions such as phlyctenule keratitis, corneal neovascularization and inflammation of the cornea.

How To Treat and Manage Ocular Rosacea

There are many management options if you have ocular rosacea, but keep in mind that this condition is multifactorial and chronic and will need to be managed by multiple adjunctive therapies. Your eye doctor is going to focus on improving your Meibomian glands and treating any ocular surface disease you may have. Your glands may require a combination of an antibiotic, warm compresses, lid scrubs, and fish oil supplementation with good bioavailability. Depending on the severity of your ocular surface disease, your eye doctor may start you on a good quality lipid-containing artificial tear, or a prescription eye drop to target inflammation.

A Little Bit About…

A Little Bit About…

Ashley Iketani-Castillo, OD, MS

Dr. Iketani is a Florida native who has a passion for managing ocular disease. She views each patient as a whole person and believes the eyes are a window to a patient’s systemic health. She also has a passion for fitting rigid lenses on patients with corneal disease to help them obtain their best vision.

Dr. Iketani graduated from the University of Alabama at Birmingham School of Optometry where she completed internships at the Hefner Veteren’s Affairs hospital in Charlotte, NC and The Metrolina Association for the Blind which focused on Low Vision rehabilitation. Prior to pursuing optometry, she obtained a Masters of Science which focused on developmental genetics and worked as a technician in a lab that researched breast cancer.

Dr. Iketani currently resides in Charlotte with her husband, a pediatric resident, their two cats and they are welcoming a baby boy in December 2018.

Disclaimer

Information contained within this Web site is intended solely for educational purposes and is neither intended nor implied to be a substitute for professional medical advice relative to your specific medical condition or question. Always seek the advice of your physician or other health care provider for any questions you may have regarding your medical condition. Only your physician can provide specific diagnoses and therapies. By using this Web site, you agree to this Medical Disclaimer.

205 E Council Street, Suite B
Salisbury, North Carolina 28144

Phone: (704) 310-5002
Fax: (704) 310-5003
kristin@salisburyeyecareandeyewear.com

 

205 E Council Street, Suite B
Salisbury, North Carolina 28144

Phone: (704) 310-5002
Fax: (704) 310-5003
kristin@salisburyeyecareandeyewear.com

 

Hours:
Monday: 8:30 AM – 5:00 PM
Tuesday: 10:00 AM – 7:00 PM
Wednesday: 8:30 AM – 5:00 PM
Thursday: 8:30 AM – 5:00 PM
Friday: 9:00 AM – 1:00 PM

Hours:
Monday: 8:30 AM – 5:00 PM
Tuesday: 10:00 AM – 7:00 PM
Wednesday: 8:30 AM – 5:00 PM
Thursday: 8:30 AM – 5:00 PM
Friday: 9:00 AM – 1:00 PM

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