title: Topical azithromycin as a novel treatment for ocular rosacea.
abstract: OBJECTIVE
  Acne rosacea is a common dermatological conditions associated with blepharitis. Current treatments include artificial tears, lid hygiene, and systemic doxycycline. In this study the authors evaluate the effectiveness of topical azithromycin in ocular rosacea.
  
  
  METHODS
  The authors enrolled 37 ocular rosacea patients: 12 were treated with systemic doxycycline, 16 with azithromycin eyedrops, and 9 did not receive medical treatments. Ocular signs and symptoms and side effects were evaluated at baseline and at 1-month follow-up.
  
  
  RESULTS
  A significant improvement in TF-BUT, meibomian gland plugging, and Oxford score associated with symptom reduction was reported by all patients after 1 month. All treatments were well tolerated, with mild gastro-intestinal symptoms in 33% of the doxycycline group and mild burning after instillation in the azithromycin group.
  
  
  CONCLUSIONS
  Topical azithromycin may represent an additional treatment for ocular rosacea, with a shorter duration of treatment and absence of gastrointestinal side effects as compared to systemic doxycycline.
authors.affiliation: IRCCS Fondazione Bietti , Rome , Italy .
authors.forename: Flavio
authors.initials: F
authors.lastname: Mantelli
authors.forename: Antonio
authors.initials: A
authors.lastname: Di Zazzo
authors.forename: Marta
authors.initials: M
authors.lastname: Sacchetti
authors.forename: Caterina
authors.initials: C
authors.lastname: Dianzani
authors.forename: Alessandro
authors.initials: A
authors.lastname: Lambiase
authors.forename: Stefano
authors.initials: S
authors.lastname: Bonini
mesh_terms: D000287:Administration, Topical; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D017963:Azithromycin / Q000008:administration & dosage*; D003229:Conjunctival Diseases / Q000188:drug therapy*; D005141:Eyelid Diseases / Q000188:drug therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012393:Rosacea / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D017963:Azithromycin