Sazy, Yes, please post the study. We're using it very low dose now with good results only 2 drops per week. Obviously I'm not thrilled about using steroid for years. Can't manage without it though, even to 1 drop per week. It's fascinating this very low dose works for rosacea though, really interesting. We've had meibom pretty much since we started after a very short blast of topical azithromycin (Azyter).
Have you tried low dose cyclosporine with an aqueous base instead of oils?
Moorfields talk about hypersensitivity - is this you, do you think? Certainly LM is better just on frequent normal saline without tear substitute eyedrops. This isn't for everyone but seems good if it's an immunology and sensitivity problem.
If we stop the rosacea skin from flaring, she's good on this minimum regime, using normal saline 6/day, and the tearing starts to improve well. Then it's about healing the eye surface, I guess. If the skin flares, we need a more viscous eyedrop to see us through and increase steroid.
The principle is, I think, to taper off to minimum intervention and chemicals to attempt to normalise things and allow recovery, once there's a spiral of improvement. Then it's maintenance.
Like the sound of your new doc - still in Pennsylvania?
Last edited by littlemermaid; 11-Jul-2012 at 01:59.
Paediatric ocular rosacea ~ primum non nocere