What is rosacea?

Rosacea is a common skin condition, mostly affecting the face. Rosacea can start at any age from childhood onwards, but most commonly appears in young adults.

It is more common in women however, when affecting men, it may be more severe. It is a long-term condition, can persist for a long time and fluctuates from mild to severe. Rosacea mostly affects the cheeks, forehead, chin, and nose. More rarely, it may affect the neck and chest.

What causes rosacea?

The cause of rosacea is not fully understood. Genetics, immune system problems and environmental factors may all play a part. Factors that trigger rosacea cause the blood vessels in the skin of the face to enlarge (dilate). Rosacea is not contagious.

There are many triggers that may make rosacea worse. These include alcohol, exercise, high and low temperatures, hot drinks, spicy foods, and stress. Rosacea patients can be sensitive to the sun.

What are the symptoms of rosacea?

Rosacea appears as persistent redness caused by dilated blood vessels, small bumps, and pus-filled spots similar to acne. There may also be uncomfortable redness and irritation of the surface of the eyes and eyelids. Furthermore, the skin of the face is often sensitive, and the affected area can feel very hot or sting.

Some people affected by rosacea may develop eye problems such as painful inflammation involving the front part of the eye (rosacea keratitis) and this may cause blurred vision.

Treatment for rosacea

At Haig-Brown Optometry we now offer intense pulse light (IPL) and low-level light therapy (LLLT) treatment. In clinical studies this treatment has shown a positive improvement to the eye related and facial skin symptoms of rosacea.

Session frequency and duration

• Typically, 4 sessions spaced over 4 weeks
• Additional maintenance sessions are likely to be needed on a 6 monthly basis to maintain the treatment this will be based on individual clinical response
• Each session lasts approximately 45 minutes

Procedure steps

1. IPL Session

• The area around your eyes will be assessed and grading measurements will be taken for baseline data and to tailor the IPL treatment to your skin.
• Eye shields are applied to protect your eyes.
• IPL pulses are administered to the lower eyelids and cheeks.

2. LLLT Session with Blue and Red-Light masks

• You will remain sitting or reclined on the couch comfortably while the LED light mask panel is positioned over the face. It is held in place with a band and it can be secured with a clip to your clothing if required.
• The session begins with the blue light.
• The light is gentle, non-invasive, and completely painless.
• This treatment lasts approximately 15 minutes.
• You are able to listen to head phones and your optometrist will remain in the room with you should you need anything.
• Once this treatment is complete the red mask treatment will be started and this is again approximately 15 minutes in duration.

No contact with the eye itself is involved.

What to expect during treatment

• You may feel a warm snapping sensation during IPL (similar to a rubber band flick).
• LLLT feels gentle and warm, with most patients finding it very relaxing.
• You can resume normal activities immediately after the session.

Possible side effects

The treatment is generally safe, but as with any procedure, there are some potential side effects:

Uncommon:

• Mild redness or warmth of the skin around the eyes (temporary)
• Light sensitivity (usually resolves within a few hours)

Rare:

• Skin pigmentation changes or superficial skin burns (very uncommon with correct protocols)

These symptoms typically resolve within 24–48 hours. All precautions are taken to minimise risk, including the use of eye protection and skin-cooling gels if required.

Who is this treatment suitable for?

This treatment is ideal for:

• Patients suffering with rosacea
• Those unresponsive to traditional therapies
• Patients looking for non-pharmacological, non-invasive options

Contraindications include:

• Pregnancy or breastfeeding
• Photosensitive skin conditions
• Use of photosensitising medications medication* – some antibiotics (e.g. doxycycline, ciprofloxacin), some antifungals (e.g. Griseofulvin, Itraconazole), and some NSAIDs (e.g. Naproxen)
• History of seizures triggered by light

A full clinical assessment will be conducted to determine if you are a suitable candidate

*If you are unsure, please consult your Optometrist or the medical practitioner who prescribed the drugs.

PLEASE NOTE: The treatment room is on the first floor, which will involve a flight of stairs. If you have mobility issues, please speak to a member of staff prior to booking.

Questions

If you have any questions about your treatment, don’t hesitate to contact us. We’re here to support you every step of the way.