Oltz Melissa, Check James
Arleo Eye Associates, Ithaca, New York, USA.
Optometry. 2011 Feb;82(2):92-103. doi: 10.1016/j.optm.2010.01.015.
Rosacea is a chronic condition affecting the facial and ocular surface tissues. It is historically underdiagnosed and affects people of all ethnicities. The exact pathophysiology of rosacea is poorly understood. A variety of medical therapies are available to treat the various signs and symptoms of rosacea. Currently, there is no cure for the condition.
This report is a literature review.
The clinical manifestations of rosacea are diverse, with periods of exacerbation and remission. Many short- and long-term treatments are available to alleviate the symptoms and effects of rosacea. Variations are common in the medications used, dosages, and durations of treatment. Current topical, oral, and surgical treatment options are presented and reviewed. As a chronic condition, rosacea treatment should be tailored toward individuals and adjusted over time.
Subtle presentations of rosacea may be overlooked by health care providers. When treating the condition, certain individuals may require both systemic and topical therapy to effectively control rosacea outbreaks. Eye care professionals need to be aware of the presence of rosacea to appropriately treat ocular surface disease that is not responding as expected to standard topical therapy. Severe facial and ocular surface damage caused by rosacea may need surgical intervention. Specific treatment protocols are elusive because of the diversity of the disease. Additional research is needed to find the exact cause of rosacea to more effectively manage the dermatologic and ocular manifestations of the disease and to find a cure.
酒渣鼻是一种影响面部和眼表组织的慢性疾病。历史上它一直未得到充分诊断，且影响所有种族的人群。酒渣鼻的确切病理生理学机制尚不清楚。有多种医学疗法可用于治疗酒渣鼻的各种体征和症状。目前，这种疾病无法治愈。
本报告为文献综述。
酒渣鼻的临床表现多样，有加重期和缓解期。有许多短期和长期治疗方法可用于减轻酒渣鼻的症状和影响。所用药物、剂量和治疗持续时间存在差异很常见。介绍并综述了当前的局部、口服和手术治疗选择。作为一种慢性病，酒渣鼻的治疗应因人而异，并随时间调整。
医疗保健提供者可能会忽略酒渣鼻的细微表现。在治疗这种疾病时，某些个体可能需要全身和局部治疗才能有效控制酒渣鼻发作。眼科护理专业人员需要意识到酒渣鼻的存在，以便恰当地治疗对标准局部治疗无预期反应的眼表疾病。酒渣鼻导致的严重面部和眼表损伤可能需要手术干预。由于该疾病的多样性，具体的治疗方案难以确定。需要进一步研究以找到酒渣鼻的确切病因，从而更有效地管理该疾病的皮肤和眼部表现并找到治愈方法。
