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Conservative management of necrotizing fasciitis of the eyelids
Jason A Luksich1, John B Holds, Morris E Hartstein
1Saint Louis University Eye Institute, Department of Ophthalmology, Saint Louis University School of Medicine, St. Louis, Missouri 63104, USA.
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.
