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Necrotizing fasciitis after cosmetic blepharoplasty
I J Suñer1, M L Meldrum, T E Johnson
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida, USA. ijsuner@hotmail.com
Purpose:
To report a case of necrotizing fasciitis after cosmetic blepharoplasty.
Method:
Case report. A 74-year-old woman with history of type II diabetes mellitus underwent bilateral upper eyelid blepharoplasty. Postoperatively she developed fever, grayish discoloration of the skin, violaceous bullae, and a right facial nerve palsy. Necrotizing fasciitis was diagnosed and treated with intravenous antibiotics, debridement of necrotic tissue, and hyperbaric oxygen therapy.
Results:
The infection resolved, but the patient required reconstruction for correction of cicatricial ectropion.
Conclusion:
Necrotizing fasciitis is a potentially fatal infection that typically occurs in the setting of trauma. Early recognition of its pathognomonic signs and aggressive management are paramount.