First of all, we look for rosacea on your skin (or acne rosacea). People who have red or pink inflamed skin that goes untreated can end up with very inflamed eyelids because of it. Sometimes, you can see rosacea more readily on the nose. Really red eyelids, really inflamed eyelids, and telangiectasia (or small blood vessels visible on the eyelids) are all signs of ocular rosacea. Telangiectasia on the eyelids is a tell-tale sign of rosacea. Remember that all disease is your body’s way of telling you that you’re not doing something correctly and your body is out of balance. Rosacea can be very diet related and if you find out what’s causing the problem with a food sensitivity test or elimination diet, it can help. We will be going into that on our video series on dryeyecommunity.com eventually. Specific foods to look into are gluten, dairy, eggs, or other things like that which may be causing your allergy. That’s probably what’s causing your immune system to attack and cause the rosacea itself. We treat ocular rosacea with Heyedrate Dry Eye Omega-3, our Heyedrate Lid and Lash Spray, and Heyedrate Tea Tree Oil Soap. Docyxycline is a medcation that can often help patients tremendously if the above treatments are not adequately helping, and this can be prescribed by your eye doctor or dermatologist.
We've addressed this a little bit in the past, and Accutane is a tough treatment. We would recommend exploring other routes first, including diet, to see if that helps in any way. I (Dr. Jenna) have struggled with acne for basically my entire life and it got incredibly worse when I got pregnant. Just like dry eyes, it makes you feel awful. But Accutane is something that I have never done and if you have got dry eyes as well, it’s really only going to make that worse. So like Travis said, I would explore diet changes first. If you haven’t already tried taking dairy out of your diet, that can be a huge help. If you find that dairy doesn’t make a difference for a couple of weeks, I would then remove gluten or wheat from your diet. You can also have a food sensitivity test done to see what foods you may be reacting to. Another thing to look into is the amount of products you’re using on your acne. More is not always better! I just started the oil cleansing method, which is really scary for those of us with oily skin. Basically, you cleanse your face with oil (I use jojoba oil) at night, which theoretically is supposed to normalize your oily face because oil dissolves oil. Give it a try if you dare (it's been working well)! Like stated earlier, we would stay away from Accutane, though, as far those dry eyes go. Some of the Accutane side effects can be permanent if you do get them, so keep that in mind.
Do you suffer from acne or rosacea? Let us know what struggles you're having in the comments below, and we'll do our best to help out!
Drs. Travis and Jenna Zigler
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