Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report

Júlia D Rossetto; Eliana A Forno; Melina Correia Morales; Julio Cesar Moreira; Pedro V Ferrari; Bruno T Herrerias; Flavio E Hirai; Carolina P B Gracitelli

doi:10.1159/000513958

Upper Eyelid Necrosis Secondary to Hordeolum: A Case Report

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

Authors

Júlia D Rossetto^{1

2}, Eliana A Forno³, 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

¹ Department of Ophthalmology, Federal University of São Paulo, São Paulo, Brazil.
² Department of Pediatric Ophthalmology, Institute of Childcare and Pediatrics Martagão Gesteira-Federal University of Rio de Janeiro (IPPMG-UFRJ), Rio de Janeiro, Brazil.
³ Universidade de São Paulo, São Paulo, Brazil.
⁴ Centro de Estudos Alcides Hirai, Ver Mais Oftalmologia, São Paulo, Brazil.
⁵ Vera Cruz Oftalmologia, Campinas, Brazil.
⁶ Fundação Roberto Rocha Brito, Hospital Vera Cruz, Campinas, Brazil.

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.

Publication types

Case Reports