Bullous eyelid

BMJ Case Reports
Zahra N Jaffer, Cherie Nicholson

Abstract

Periocular necrotising fasciitis is a rare but sight-threatening condition, which relies on clinical judgement to detect in a timely manner. A 51-year-old woman presented to a rural hospital with rapid onset bilateral eye swelling, erythema and pain and was started on broad spectrum intravenous antibiotics. Upon admission, she became septic and required fluid resuscitation and transfer to a higher level of care. She received debridement and continued intravenous antibiotics, with step down to oral when clinically stable. Rapid recognition and treatment of her condition resulted in a positive outcome.

References

Sep 26, 2006·Ophthalmology·Victor M ElnerAdam S Hassan
Dec 17, 2008·The Journal of Emergency Medicine·Richard F EdlichWilliam B Long
Feb 21, 2009·Journal of the American College of Surgeons·Babak SaraniC William Schwab
Nov 10, 2009·The British Journal of Ophthalmology·Davide LazzeriMarcello Pantaloni
Apr 24, 2012·Acta Ophthalmologica·Shantha AmrithWong Wan Ling
May 15, 2012·The Journal of Emergency Medicine·Anish N ShahJane M Olver
May 15, 2013·Orbit·Rhujuta MehtaAlan McNab
Feb 4, 2016·The British Journal of Ophthalmology·Saul N RajakDinesh Selva

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