Jason A Luksich1, John B Holds, Morris E Hartstein. 1. Saint Louis University Eye Institute, Department of Ophthalmology, Saint Louis University School of Medicine, St. Louis, Missouri 63104, USA.
Abstract
OBJECTIVE: To describe the management of patients with necrotizing fasciitis of the eyelids. DESIGN: Retrospective, noncomparative interventional case series. PARTICIPANTS: Seven patients with necrotizing fasciitis limited to the eyelids. METHODS: Retrospective review of the charts and photographs of seven patients with necrotizing fasciitis limited to the eyelids. MAIN OUTCOME MEASURES: Eyelid function and appearance, mortality, and morbidity. RESULTS: Seven of seven patients had good eyelid function and adequate appearance without reconstruction after healing. No deaths occurred. CONCLUSIONS: Eyelid necrosis due to necrotizing fasciitis can be a devastating condition. The morbidity and mortality of selected cases are reduced with prompt and appropriate antimicrobial therapy and nonaggressive debridement of necrotic tissue after autodemarcation of the necrotic zone.
OBJECTIVE: To describe the management of patients with necrotizing fasciitis of the eyelids. DESIGN: Retrospective, noncomparative interventional case series. PARTICIPANTS: Seven patients with necrotizing fasciitis limited to the eyelids. METHODS: Retrospective review of the charts and photographs of seven patients with necrotizing fasciitis limited to the eyelids. MAIN OUTCOME MEASURES: Eyelid function and appearance, mortality, and morbidity. RESULTS: Seven of seven patients had good eyelid function and adequate appearance without reconstruction after healing. No deaths occurred. CONCLUSIONS:Eyelid necrosis due to necrotizing fasciitis can be a devastating condition. The morbidity and mortality of selected cases are reduced with prompt and appropriate antimicrobial therapy and nonaggressive debridement of necrotic tissue after autodemarcation of the necrotic zone.