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Cutaneous and Ocular Manifestations in a Rosacea Patient: A and B: The eyelid margins are rounded, notched, thickened, and exhibit telangiectasia. C: Phymatous rosacea presents on the nose (rhinophyma) and cheeks, marked by skin thickening, irregular nodular surface, telangiectasia (green arrow), fibrosis, and increased sebaceous gland volume (red arrow). D: Anterior blepharitis with waxy collarettes (red arrow) at the eyelash base. E: Conjunctival concretions (green arrows) on the palpebral conjunctiva indicate chronic inflammation. F: Abnormal blood vessel ingrowth (green arrows) and peripheral corneal scarring (red arrows), suggesting previous marginal keratitis episodes. G: Bulbar conjunctival staining in the lower areas adjacent to the eyelid margins. (Courtesy of J Khadamy)