Periorbital necrotizing fasciitis (PNF) is a life-threatening bacterial infection involving superficial and deep fascia with secondary necrosis of overlying skin. There are multiple reports of different inciting events such as local blunt trauma or penetrating injuries.1 Iatrogenic PNF has been reported after blepharoplasties, dacryocystorhinostomies, and retrobulbar injections.2,3 We report a case of PNF after a dexamethasone intravitreal implant injection for diabetic macular edema.
Danan J, Heitz A, Bourcier T. Periorbital Necrotizing Fasciitis Following Dexamethasone Intravitreal Implant Injection. JAMA Ophthalmol. 2016;134(1):110-111. doi:10.1001/jamaophthalmol.2015.4351