Herpes simplex blepharoconjunctivitis presenting as complete acquired ankyloblepharon

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 rims, 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.