{"id":3329,"date":"2025-03-05T13:47:40","date_gmt":"2025-03-05T11:47:40","guid":{"rendered":"https:\/\/ophthalmogen.com\/?p=3329"},"modified":"2025-11-18T21:25:00","modified_gmt":"2025-11-18T19:25:00","slug":"ofthalmiki-psoriasi","status":"publish","type":"post","link":"https:\/\/ophthalmogen.com\/en\/2025\/03\/05\/ofthalmiki-psoriasi\/","title":{"rendered":"Ocular Psoriasis"},"content":{"rendered":"
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What is ocular psoriasis?<\/strong><\/p>


Ocular psoriasis is the involvement of psoriatic disease in the eyelids and ocular surface, causing inflammation, scaling, redness, dryness, and dysfunction of the Meibomian glands. It belongs to the field of Dermophthalmology (www.Dermophthalmology.com<\/a>) and requires a combined dermatological and ophthalmological approach.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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Psoriasis \u2013 Eyelids \u2013 Eyelashes \u2013 Eyes \u2013 Vision<\/strong><\/p>

Guidelines for a better quality of life for psoriasis sufferers<\/strong><\/p>

Psoriasis is a chronic autoimmune inflammatory disease that remains active for a long time, even for life in most patients.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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It is estimated that 2-3% of the total population suffers from psoriasis, with 79% of patients believing that their lives have been negatively affected. 125 million people worldwide have psoriasis. The prevalence of psoriasis varies in different regions of the world, however, higher rates are reported in developed countries, corresponding to 4.6% of the population.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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EYE DISCOMFORT AND BLURRED VISION ARE VERY COMMON IN PATIENTS WITH PSORIASIS<\/strong><\/p>

The health impact of psoriasis is not limited to the skin, but also affects many body systems including the eyes and vision. With the increasing literature on the association between psoriasis and extracutaneous systems, a better understanding of psoriasis as an autoimmune disease with systemic inflammation is emerging. In addition to cardio-metabolic diseases, gastrointestinal diseases, chronic kidney disease, malignancy and infections that have received attention, the association between psoriasis and more systemic diseases, including the cutaneous system, the ocular system, the reproductive system and the oral system, has also been revealed.<\/p>

OCULAR PSORIASIS AFFECTS ALL PARTS OF THE EYE<\/strong><\/p>

Ocular psoriasis can involve any structure of the eye, including the eyelid, conjunctiva, lacrimal gland, and uvea.<\/p>

BLEPHARITIS IS THE MOST COMMON DISEASE IN PATIENTS WITH PSORIASIS<\/strong><\/p>

Blepharitis has been found to be the most common ocular disease in patients with psoriasis. Corneal involvement in psoriasis is rare and probably secondary to eyelid or conjunctival complications, such as dry eye and trichiasis. Dry eye and trichiasis can lead to erosions of the corneal epithelium.<\/p>

As ocular complications of psoriasis are very common, they can affect almost any part of the eye. Blepharitis\/dry eye, madarosis, trichiasis, and ectropion are the most common ocular manifestations associated with psoriasis.<\/p>

CONJUNCTITIS IS A VERY COMMON COMORBITION OF PSORIASIS<\/strong><\/p>

UP TO 65% OF PATIENTS WITH PSORIASIS MAY BE AFFECTED BY CONJUNCTITIS<\/strong><\/p>

Another particularly common pathogenesis of psoriasis patients is conjunctivitis, which can affect up to 65% of patients. Chronic nonspecific conjunctivitis is the most common form of conjunctivitis among psoriasis patients. Psoriasis can affect almost any structure of the eye. However, the most common manifestations include blepharitis, dry eyes, and conjunctivitis. Depending on the area involved and the severity of the conditions, the signs and symptoms of ocular psoriasis can vary from asymptomatic erythema to debilitating scarring and vision loss.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Ocular psoriasis is a less recognized but extremely important manifestation of psoriatic disease, directly affecting the eyelids, eyelashes and ocular surface. The nature of the disease belongs to the field of Dermo-Ophthalmology (www.Dermophthalmology.com<\/a>), the science that unites Dermatology and Ophthalmology for the understanding of diseases of the eye-skin system.\u00a0<\/span><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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EYELID PSORIASIS<\/strong><\/p>

67-67.4% of patients with psoriasis have ocular manifestations mainly in the anterior segment of the eye that may reduce the quality of vision, the appearance of the eyes and their quality of life. It is commonly accepted based on multiple scientific data that blepharitis, dry eyes and conjunctival hyperemia (red eyes) are very common ocular effects. Changes in the tear film, the surface of the conjunctiva, impaired function of the meibomian glands and overpopulation of Demodex parasites are particularly common pathological conditions among patients with psoriasis.<\/p>

According to the principles of Dermophthalmology (www.Dermophthalmology.com<\/a>), psoriasis can affect the thin skin of the eyelids, causing redness, scaling, Meibomian gland dysfunction (MGD), and inflammation of the ocular surface. The close skin-eye relationship is explained by their shared embryological origin from the ectoderm, which makes ocular manifestations more common than previously thought.<\/span><\/div>

IGNORANCE OF EYELID HYGIENE DETERMINES QUALITY OF LIFE<\/strong><\/p>

Because the majority of psoriasis patients do not know the importance of eyelid hygiene, they will have most of the symptoms due to uncontrolled inflammation from Demodex & bacteria which multiply rapidly in the absence of hygiene. If you have not learned to take care of your eyelids from a young age, then the likelihood of suffering from your eyes is very high. Massaging, spraying and decongesting the eyelids, as well as resting the eyes with products Ophthalmogen <\/a>It is considered the cornerstone of good eye health and vision.<\/p>

CATARACTS & UVEIDITIS: PSORIASIS COMMON COMPLICATIONS<\/strong><\/p>

Several important scientific studies have reported in the past that patients with psoriasis may develop cataracts, while another important scientific fact is that 7-25% of patients with psoriasis may develop uveitis, a very serious eye disease.<\/p>

It is also scientifically proven that scalp psoriasis is significantly associated with blepharitis\/dry eyes.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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THE PARASITES <\/strong>DEMODEX<\/strong> IT IS ONE OF THE MAIN CAUSES OF BLEPHARITIS & DRY EYES<\/strong><\/p>

Based on scientific data, 18% of psoriasis patients have dry eyes, while 30-45% of cases of dyskeratosis can affect the eyelids with blepharitis, ectropion, entropion, trichiasis, alopecia areata, pterygium, nasolacrimal duct obstruction with epiphora, and conjunctivitis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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DERMATO-OPHTHALMOLOGICAL PROBLEMS ARE PARTICULARLY FREQUENT IN PATIENTS WITH PSORIASIS<\/strong><\/p>

The impact of skin diseased with pathological keratinization processes on eye function and vision is often underestimated by clinicians, which can have dramatic consequences for the patient, including vision loss due to changes in the ocular surface (corneal ulcers and perforations), fundoscopic manifestations (retinal neovascularization, retinal angiopathy, optic nerve atrophy)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t

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AMERICAN ACADEMY OF OPHTHALMOLOGY<\/strong><\/p>

\u00a0PSORIASIS IS NOT LIMITED TO THE SKIN AND OFTEN AFFECTS THE EYES<\/strong><\/p>

According to the American Academy of Ophthalmology, the most common form of psoriasis is plaque psoriasis, which accounts for 80% of all psoriasis cases. Ocular manifestations of psoriasis include blepharitis, conjunctivitis, uveitis, episcleritis, and cataracts. Psoriasis is not limited to the skin and can affect other organs, including the cornea and lacrimal gland, which can lead to dry eyes.<\/p>

Meibomian gland dysfunction is more prevalent in patients with psoriasis. Patients may experience signs of sensitivity to light.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t

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UVEIDITIS \u2013 A SERIOUS EFFECT OF PSORIASIS <\/strong><\/p>\n

The mechanism between uveitis and psoriasis remains complex and multifactorial, but the two disorders have been found to share common immunological pathways. The incidence of uveitis in psoriasis is estimated to be 7-20% with severe and mild cases of psoriasis at increased risk. Patients may present with signs of light sensitivity, blurred vision, and sometimes floaters in the visual field.<\/p>\n

STATISTICS OF THE OCCURRENCE OF EYE SYMPTOMS IN PSORIASIS<\/strong><\/p>\n