Lateral cantholysis and eyelid necrosis secondary to Pseudomonas aeruginosa.

A 16-month-old infant girl developed an acute lateral cantholysis and eyelid necrosis secondary to a severe Pseudomonas aeruginosa blepharitis and preseptal cellulitis. This uncommon complication of a pseudomonal external ocular infection occurred in the setting of malnutrition and failure-to-thrive. The lesion underwent satisfactory self-healing with the institution of antibiotic therapy and proper diet.