Conservative management of necrotizing fasciitis of the eyelids.
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.
Luksich
Jason A
JA
Saint Louis University Eye Institute, Department of Ophthalmology, Saint Louis University School of Medicine, St. Louis, Missouri 63104, USA.
Holds
John B
JB
Hartstein
Morris E
ME
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
D000900:Anti-Bacterial Agents