Psoriasis in or around the eyes

September 22, 2011

Question: What is the best treatment for psoriasis in or around the eyes?


Psoriasis can affect all areas of the body, including the skin around the eyes. Due to concerns about absorption of steroid medications near the eyes and a potential risk for both cataracts and glaucoma, I avoid treating patients with any topical steroid preparation near the eyes. My favorite treatments in this area are topical immunomodulators, either Elidel (generic name pimecrolimus) or Protopic (tacrolimus).

Neil J. Korman, M.D., Ph.D.

Neil J. Korman, M.D., Ph.D.
Professor of Dermatology, Clinical Director
Murdough Family Center for Psoriasis
Case Western Reserve University
University Hospitals of Cleveland
Cleveland, Ohio


  • I have skin psoriasis and most likely psoriatic arthritis because I have increasing joint pain and swelling. I also have a right eye problem that I am being treated for. The diagnosis for my eye problem is a herpes virus. Is it possible that this is a psoriasis problem and the wrong diagnosis?

  • Hi Brad: unfortunately psoriasis can be difficult to diagnose, as no special blood tests or diagnostic tools exist to diagnose psoriasis. Sometimes a biopsy is performed where a small piece of skin is examined under a microscope. If you are looking for a second opinion, you might consider consulting one of the specialists listed in our Health Care Provider Directory:

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