title: Conservative management of necrotizing fasciitis of the eyelids.
abstract: OBJECTIVE
  To describe the management of patients with necrotizing fasciitis of the eyelids.
  
  
  METHODS
  Retrospective, noncomparative interventional case series.
  
  
  METHODS
  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.
  
  
  METHODS
  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.
authors.affiliation: Saint Louis University Eye Institute, Department of Ophthalmology, Saint Louis University School of Medicine, St. Louis, Missouri 63104, USA.
authors.forename: Jason A
authors.initials: JA
authors.lastname: Luksich
authors.forename: John B
authors.initials: JB
authors.lastname: Holds
authors.forename: Morris E
authors.initials: ME
authors.lastname: Hartstein
mesh_terms: D000328:Adult; D000900:Anti-Bacterial Agents; D003646:Debridement; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005141:Eyelid Diseases / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D019115:Fasciitis, Necrotizing / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
chemical_list: D000900:Anti-Bacterial Agents