Periorbital necrotizing fasciitis.

Periorbital necrotizing fasciitis carries serious risks of loss of vision, eye, and life, and thus represents a true emergency. As such, clinicians must have an appropriate index of suspicion for necrotizing fasciitis and, upon recognition, need to address the disease rapidly and thoroughly. I review the classic features, systemic implications, and management paradigms of necrotizing fasciitis in the hopes of improving outcomes.