Periocular necrotizing fasciitis following retrobulbar injection

Yeshigeta Gelaw, Aemero Abateneh Department of Ophthalmology, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia Abstract: Necrotizing fasciitis is a rare, rapidly progressive severe bacterial soft tissue infection with a high mortality rate. While necrotizing fasciit...

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Autores principales:	Gelaw Y, Abateneh A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2014
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/98defcad87034c83b4da68ad64689d4b
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spelling	oai:doaj.org-article:98defcad87034c83b4da68ad64689d4b2021-12-02T06:30:16ZPeriocular necrotizing fasciitis following retrobulbar injection1177-5483https://doaj.org/article/98defcad87034c83b4da68ad64689d4b2014-01-01T00:00:00Zhttp://www.dovepress.com/periocular-necrotizing-fasciitis-following-retrobulbar-injection-a15636https://doaj.org/toc/1177-5483 Yeshigeta Gelaw, Aemero Abateneh Department of Ophthalmology, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia Abstract: Necrotizing fasciitis is a rare, rapidly progressive severe bacterial soft tissue infection with a high mortality rate. While necrotizing fasciitis classically involves the trunk, groin/perineum, lower limbs, and postoperative wound sites, primary involvement of the eyelids is a rare but well known entity. We present a 33-year-old female patient who developed periocular necrotizing fasciitis after local retrobulbar anesthesia injection and facial block for cataract surgery in the left eye and canthotomy/cantholysis for treatment of moderate retrobulbar hemorrhage in the same eye. Surgical debridement was done and necrotic foul-smelling eyelid and deep orbital tissues were removed, and culture grew Staphylococcus aureus. Despite initial surgical debridement and intravenous antibiotic therapy, the disease progressed rapidly; orbital exenteration was considered, but the patient declined the surgery and self-discharged. Periocular necrotizing fasciitis remains predominantly a clinical diagnosis, and is often missed early in its presentation because of the difficulty in distinguishing it from other common soft tissue infections, especially in the presence of surgical wounds and retrobulbar hemorrhage. A high index of suspicion, early recognition, and prompt therapeutic interventions are indispensable for optimal visual outcome and patient survival. Keywords: periocular necrotizing fasciitis, eyelid necrosis, deep fascia, surgical debridement, fasciitisGelaw YAbateneh ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2014, Iss default, Pp 289-292 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Gelaw Y Abateneh A Periocular necrotizing fasciitis following retrobulbar injection
description	Yeshigeta Gelaw, Aemero Abateneh Department of Ophthalmology, College of Public Health and Medical Sciences, Jimma University, Jimma, Ethiopia Abstract: Necrotizing fasciitis is a rare, rapidly progressive severe bacterial soft tissue infection with a high mortality rate. While necrotizing fasciitis classically involves the trunk, groin/perineum, lower limbs, and postoperative wound sites, primary involvement of the eyelids is a rare but well known entity. We present a 33-year-old female patient who developed periocular necrotizing fasciitis after local retrobulbar anesthesia injection and facial block for cataract surgery in the left eye and canthotomy/cantholysis for treatment of moderate retrobulbar hemorrhage in the same eye. Surgical debridement was done and necrotic foul-smelling eyelid and deep orbital tissues were removed, and culture grew Staphylococcus aureus. Despite initial surgical debridement and intravenous antibiotic therapy, the disease progressed rapidly; orbital exenteration was considered, but the patient declined the surgery and self-discharged. Periocular necrotizing fasciitis remains predominantly a clinical diagnosis, and is often missed early in its presentation because of the difficulty in distinguishing it from other common soft tissue infections, especially in the presence of surgical wounds and retrobulbar hemorrhage. A high index of suspicion, early recognition, and prompt therapeutic interventions are indispensable for optimal visual outcome and patient survival. Keywords: periocular necrotizing fasciitis, eyelid necrosis, deep fascia, surgical debridement, fasciitis
format	article
author	Gelaw Y Abateneh A
author_facet	Gelaw Y Abateneh A
author_sort	Gelaw Y
title	Periocular necrotizing fasciitis following retrobulbar injection
title_short	Periocular necrotizing fasciitis following retrobulbar injection
title_full	Periocular necrotizing fasciitis following retrobulbar injection
title_fullStr	Periocular necrotizing fasciitis following retrobulbar injection
title_full_unstemmed	Periocular necrotizing fasciitis following retrobulbar injection
title_sort	periocular necrotizing fasciitis following retrobulbar injection
publisher	Dove Medical Press
publishDate	2014
url	https://doaj.org/article/98defcad87034c83b4da68ad64689d4b
work_keys_str_mv	AT gelawy periocularnecrotizingfasciitisfollowingretrobulbarinjection AT abateneha periocularnecrotizingfasciitisfollowingretrobulbarinjection
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Periocular necrotizing fasciitis following retrobulbar injection

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