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I treat blepharitis associate with ocular rosacea with topical tobradex solution 4 x daily, lid washes with ocusoft, warm compresses, probiotics, oral doxycycline tablet 100mg twice daily and metrogel to the nose and eyelid (ensure not to get in eye as it stings). Also need to stay away from inciting foods/drinks such as alcohol, spicy foods, salsas. Also recommend stopping the vasoconstricting eye solution as this causes rebound inflammation. Can use over the counter alaway or zatidor for itching and redness.