Necrotizing fasciitis after cosmetic blepharoplasty

Iván J. Suñer, Melissa L. Meldrum, Thomas E. Johnson, David T. Tse

Research output: Contribution to journalArticlepeer-review

43 Scopus citations

Abstract

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. Copyright (C) 1999 Elsevier Science Inc.

Original languageEnglish (US)
Pages (from-to)367-368
Number of pages2
JournalAmerican journal of ophthalmology
Volume128
Issue number3
DOIs
StatePublished - Sep 1999

ASJC Scopus subject areas

  • Ophthalmology

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