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Case Reports
. 2021 Apr 19;12(1):270-276.
doi: 10.1159/000513958. eCollection 2021 Jan-Apr.

Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report

Júlia D Rossetto  1   2 , Eliana A Forno  3 , Melina Correia Morales  1   4   5   6 , Julio Cesar Moreira  5   6 , Pedro V Ferrari  1   4   5   6 , Bruno T Herrerias  1   4   5   6 , Flavio E Hirai  1   4   5   6 , Carolina P B Gracitelli  1   4   5   6
Affiliations
Case Reports

Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report

Júlia D Rossetto et al. Case Rep Ophthalmol. .

Abstract

We reported a case of upper eyelid necrosis initially misdiagnosed as a preseptal cellulitis following a hordeolum externum resulting in great damage to the upper eyelid (anterior lamella). The infection was successfully treated with surgical cleansing, drainage, and endovenous antibiotics. Early treatment may avoid severe complications such as eyelid deformity, systemic involvement, and blindness.

Keywords: Eyelid diseases; Hordeolum; Necrosis; Necrotizing fasciitis.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Fig. 1
Fig. 1
Patient showing NF with eschar formation in upper eyelid in the right eye at the day of admission at the hospital. NF, necrotizing fasciitis.
Fig. 2
Fig. 2
Tomography presenting preseptal edema and heterogeneous fluid, suggesting abscess in the right eyelid.
Fig. 3
Fig. 3
Patient presenting the upper eyelid aspect of the right eye minutes after the debridement.
Fig. 4
Fig. 4
Upper eyelid aspect after 15 days of the debridement.
Fig. 5
Fig. 5
Upper eyelid aspect after 2 months of debridement with closed (a) and opened (b) eyes.
See this image and copyright information in PMC

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