Rosacea is a condition that is most often associated with adults; however, various forms exist in the pediatric population and must be taken into account when a child presents a rash to the face. We report a rare case of rosacea with severe ocular involvement in a 7-year-old child with discrete papules and pustules on both cheeks and chin with blepharitis and decreased visual acuity. The ophthalmologic examination confirmed a severe blepharitis with severe mibomitis associated with a stromal corneal ulcer. The diagnosis of rosacea with ocular involvement was made. Patient was put on oral azithromycin, topical metronidazole at the face and a photoprotection with good evolution. Early recognition and treatment of ocular rosacea in children can improve patient outcomes by limiting the progression of corneal pathology.
