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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.
Purpose:
A 90-year-old woman was referred to us with a 1-month history of progressively worsening blepharoconjunctivitis. She had a complete acquired ankyloblepharon of the right lids, which resulted in the appearance of a right upper lid abscess on computed tomography.
Methods:
Blepharotomy with separation and debridement of the lid margins was performed.
Results:
Cultures were positive only for herpes simplex virus, type II.
Conclusions:
Herpes simplex blepharoconjunctivitis may take many clinical forms. Our patient's severe manifestations led to the clinical and radiologic appearance of preseptal cellulitis with a right upper lid abscess.