EXIT Survey on Ocular Rosacea Please fill out the following survey on ocular rosacea. Results will appear in the National Rosacea Society's newsletter, Rosacea Review, and on rosacea.org. OK Question Title * 1. Do you experience eye signs and symptoms of ocular rosacea? Yes Somewhat No OK Question Title * 2. If so, which of the following signs and symptoms do you experience? (Check all that apply.) Visible blood vessels on eyelid Visible blood vessels in the eyes Meibomian gland dysfunction "Honey crust" around eyelashes Gritty or foreign body sensation Burning Stinging Itching Red or bloodshot eyes Scarring on cornea Styes or chalazia Conjunctivitis Watery eyes Dry eyes Light sensitivity Other (please specify) OK Question Title * 3. If you you have ocular rosacea, which of the following treatments have you used? (Check all that apply.) Antibiotic ointment Antibiotic eyedrops Baby shampoo on eyelids Warm compress Oral antibiotics Tacrolimus eyedrops or ointment Saline or artificial tears Intense pulsed light (IPL) Other (please specify) OK Question Title * 4. Has medical therapy helped relieve your eye signs and symptoms? Yes Somewhat No OK Question Title * 5. Are you: Male Female Non-binary / other Prefer not to say OK Question Title * 6. Are you: Under 30 30-39 40-49 50-59 60-69 over 69 Prefer not to say OK Question Title * 7. Comments: OK Question Title * 8. Would you like to receive information on rosacea? Join the National Rosacea Society mailing list by providing your name and email below. Name Email Address OK SUBMIT SURVEY & RETURN TO ROSACEA REVIEW >>
