Recognizing and Treating Ocular Rosacea in Darker Skin Tones

Janelle Davison, OD, shares clinical pearls to close gaps in recognition.

By: Sarah Fackler, managing editor, Optometric Management

Optometric Management February 28, 2026

Clinical Report: Recognizing and Treating Ocular Rosacea in Darker Skin Tones

Overview

This report highlights the unique presentation and treatment considerations for ocular rosacea in darker skin tones, emphasizing the need for tailored approaches. Dr. Janelle Davison outlines the importance of recognizing subtle signs and implementing effective treatment protocols to improve patient outcomes.

Background

Ocular rosacea is a common yet often underrecognized condition, particularly in patients with darker skin tones where typical signs may be less visible. This underrepresentation in clinical studies contributes to gaps in knowledge and treatment. Understanding the distinct characteristics of ocular rosacea in diverse populations is crucial for effective diagnosis and management.

Data Highlights

No numerical data available in the source material.

Key Findings

Ocular rosacea in darker skin tones can present with eyelid telangiectasia and meibomian gland dysfunction (MGD), comparable to presentations in lighter skin tones.
Common manifestations include postinflammatory hyperpigmentation and minimal visible redness, making diagnosis challenging.
Intense pulsed light (IPL) therapy is effective for treating ocular rosacea, with specific protocols tailored for darker skin tones.
Combination treatments of IPL and meibomian gland expression yield superior results compared to either treatment alone.
Post-treatment care is essential to prevent hyperpigmentation, including the use of appropriate sunscreens and topical treatments.

Clinical Implications

Healthcare providers should be aware of the subtle signs of ocular rosacea in patients with darker skin tones to ensure timely diagnosis and treatment. Customized treatment protocols, including IPL and meibomian gland expression, should be implemented while considering the unique characteristics of each patient's skin type.

Conclusion

Recognizing and appropriately treating ocular rosacea in darker skin tones is vital for improving patient care. Continued education and awareness are necessary to bridge the gaps in recognition and treatment of this condition.

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