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Related Experiment Videos

Herpes simplex blepharoconjunctivitis presenting as complete acquired ankyloblepharon

P C Campanella1, G O Rosenwasser, J W Sassani

  • 1Department of Ophthalmology, Pennsylvania State University College of Medicine, Hershey 17033, USA.

Cornea
|May 1, 1997
PubMed
Summary

Severe herpes simplex blepharoconjunctivitis can mimic an abscess. This case highlights the varied clinical presentations of herpes simplex virus type II infections in the eye.

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Area of Science:

  • Ophthalmology
  • Virology

Background:

  • Blepharoconjunctivitis is an inflammation of the eyelids and conjunctiva.
  • Herpes simplex virus (HSV) is a common cause of ocular infections.

Observation:

  • A 90-year-old woman presented with a month of worsening blepharoconjunctivitis.
  • Complete acquired ankyloblepharon (adhesion of eyelids) was noted.
  • Computed tomography revealed a right upper lid abscess.

Findings:

  • Surgical intervention included blepharotomy with debridement of lid margins.
  • Cultures confirmed infection with herpes simplex virus type II.
  • The severe presentation mimicked preseptal cellulitis with an abscess.

Implications:

Related Experiment Videos

  • Herpes simplex blepharoconjunctivitis can present with unusual and severe manifestations.
  • Early diagnosis and appropriate antiviral treatment are crucial for managing ocular HSV infections.
  • This case underscores the importance of considering viral etiologies in complex eyelid conditions.