European journal of ophthalmology
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Case Reports
Periorbital necrotizing fasciitis: outcomes using a CT-guided surgical debridement approach.
The surgical management of necrotizing fasciitis usually involves early radical/wide and aggressive debridement of involved areas. We describe 5 cases of periorbital necrotizing fasciitis (NF), managed using a computed tomographic (CT)-guided approach to surgical debridement. ⋯ Periorbital NF behaves differently from NF of other areas. CT-guided surgical debridement of the superficial muscle maximizes preservation of healthy tissue and facilitates reconstruction. Delayed reconstruction allows fibrosis to settle and good cosmetic and functional results are possible. However, NF remains potentially lethal and close observation and a flexible management plan are required.
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We performed this retrospective study to evaluate and report the reasons for cancellation of elective cataract surgeries in our tertiary care hospital, Kuwait University Hospital, from January 2001 until December 2003. Proportion of elective cataract surgeries canceled on the day of surgery was obtained from the operating theater list and reasons for cancellations were recorded. ⋯ Postponing elective cataract surgery for patients scheduled for surgery is a stressful situation for the patients and their relatives. Most reasons (80%) for cancelling the surgery were avoidable and efforts to reduce the number of postponed cases should be increased. Medical fitness should be done properly to avoid unexpected rise in blood pressure and blood sugar on the day of surgery.