Hypochlorous Acid as an Adjunctive Treatment for Periocular Necrotizing Fasciitis

The authors describe a simple method of introducing dilute, pure HOCL (0.033%) without hypochlorite or sodium hypochlorite as impurities via irrigation and topical spray into the treatment plan for PONF. There was little if any loss of tissue with this treatment in this series. The outcomes compared favorably to those outcomes in the literature of PONF patients treated more traditionally with antibiotics and debridement, and those patients treated more conservatively with antibiotics alone. HOCL irrigation and spray techniques appear to be beneficial in the management of PONF and decrease the need to debride, allowing faster disease resolution and contributing to favorable outcomes.