Question: Hello
I have question about - Ocular Rosacea, as it is important to think positive all time

1. As i understand most case ar mild as it is said 50 % of Rosacea have some eye manifestations,

Approximately 5% of patients with rosacea manifest corneal disease, which can rarely be severe and lead to blindness via corneal ulceration, perforation, secondary infections, or corneal opacification from complete vascularization.

https://emedicine.medscape.com/article/0000-overview#showall


2.as i understand most case ar mild - and how are they treated wit oral antibiotics or without ?
As i they are treated without antibiotics - as i understand

When treating ocular rosacea, a stepwise approach can be undertaken, using first lid hygiene and artificial tears, followed by topical and oral anti-inflammatory medications, with late surgical intervention as required

Patients with ocular rosacea who are asymptomatic and without worsening eye disease should not be placed on oral antibiotics.
https://emedicine.medscape.com/article/0000-treatment

3. Oral antibiotics are needed in case of corneal disease where it is most sever ?
And they can be used in low dose in long term - as i undestad from literature low dose of Tetracyclines is safe renal Fancomi syndrome is very rare -

4. I regular treatment and follow up to doctor Ocular Rosacea can be effective treated and avoid any eye problems and lost of vision
Is it so ? An if Ocular Rosacea is treated there ar no need of eye surgery is it so ?

Thank you very much