Ocular rosacea and meibomian gland dysfunction can present with symptoms like a dry, gritty sensation in the eye, burning, redness, and tearing, rather than just red or bloodshot eyes. Treatment options include warm compresses, eyelid massage, artificial tears, topical azithromycin and cyclosporine, oral doxycycline, and topical ivermectin. Topical ivermectin has shown promising results in treating ocular rosacea, with one case study showing complete clearance of symptoms. For persistent symptoms, omega-3 fatty acids from sources like flaxseed oil or fish oil may also help. Patients can apply topical ivermectin to their eyelids for effective treatment. Harper has financial ties with multiple pharmaceutical companies.
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