Rosacea is a chronic disorder of unknown etiology with facial and ocular manifestations. It frequently affects women in the fourth to seventh decades, and patients often present to ophthalmologists with complaints relating to blepharitis, meibomianitis, or tear disturbances. Characteristic skin change of flushing, erythema, telangiectasis, papules, and pustules should be sought, as patients frequently benefit from treatment. At this time, oral doxycycline and topical metronidazole, combined with local measures for ocular manifestations and appropriate patient counseling appear to be the best management options.