DOI: https://doi.org/10.36347/sjmcr.2026.v14i01.037

Pages: 149-151

Ocular rosacea is a chronic inflammatory disease that may lead to severe corneal complications. We report a 15-year-old girl with cutaneous rosacea presenting with bilateral blepharitis and peripheral sterile corneal infiltrates mimicking infectious keratitis. Ophthalmic examination showed meibomian gland dysfunction, superficial punctate keratitis, peripheral sterile corneal abscess and preserved visual acuity. Treatment combining eyelid hygiene, topical azithromycin, tapering corticosteroids, lubricants, and systemic doxycycline led to rapid clinical improvement. Early recognition and prompt anti-inflammatory management are essential to prevent vision-threatening corneal damage.