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Eur J Ophthalmol. 2023 Nov 1:11206721231212087. doi: 10.1177/11206721231212087. Online ahead of print.


PURPOSE: To report a rare case of a 19-year-old girl who presented with spontaneous bilateral corneal perforation in a setting of ocular rosacea.

METHODS: Ocular rosacea was diagnosed and treated with doxycycline. Cyanoacrylate glue was applied to treat corneal perforations.

RESULTS: At six months follow up there is good healing, visual acuity has improved, anterior chamber is deep with no Seidel.

CONCLUSIONS: Rosacea is a multifactorial disease with an unclear pathophysiology. The ocular manifestations of rosacea (ocular rosacea) may occur without skin involvement, are not specific and can range from mild blepharitis to sight-threatening conditions. This case shows how ocular rosacea can lead to serious vision-threatening complications with mild symptoms. Cyanoacrylate glue and systemic antibiotic treatment are effective treatments.

PMID:37915114 | DOI:10.1177/11206721231212087

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