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  • Title: Conservative management of necrotizing fasciitis of the eyelids.
    Author: Luksich JA, Holds JB, Hartstein ME.
    Journal: Ophthalmology; 2002 Nov; 109(11):2118-22. PubMed ID: 12414425.
    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.
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