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This is the face of a man with bilateral red eyes.

a. What is the diagnosis?

b. What ocular signs may be seen on slit-lamp?

c. What is the treatment of choice for the ocular
problems?

Answers:

This is the face of a man with bilateral red eyes.
a. What is the diagnosis?
Rhinopyema caused by acne rosacea.
b. What ocular signs may be seen on slit-lamp?

Blepharitis

Chalazia

Corneal lesion including:

peripheral vascularization +/- extension to central cornea

corneal thinning

punctate epihtleial erosions

c. What is the treatment of choice for the ocular problems?

Lid hygiene for blepharitis

Short course of steroid for the corneal lesions

Tetracycline or doxycycline for 3 to 6 weeks for both the skin

and eye lesions.
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