Skin involvement is treated with an antibiotic such as doxycycline and with skin creams such as MetroGel. Antibiotics and medicated eyedrops are used for control of eye rosacea.

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Another type of rosacea, ocular rosacea, causes symptoms in the eyes. “The eyes might be red, or you might have what feels like grit in the eye,” Dr. Coates says.

Topical ivermectin 1% is another treatment option for ocular rosacea. In 2018, German dermatologists published the case of a 50-year old man with papulopustular rosacea and blepharoconjunctivitis.

The drug, which is taken orally, will be sold under the brand name Emrosi. Rosacea affects about 16 million people in the United States and over 400 million worldwide – mostly adults ages 30 to 50.