Acute hemorrhagic conjunctivitis (AHC) is a variant of viral conjunctivitis. Several different viruses have been associated with this syndrome including coxsackie, enterovirus, and adenovirus type II. The symptoms of AHC usually start similar to traditional viral conjunctivitis with ocular redness, tearing, and discharge. In early stages of AHC, vision is usually unaffected. Patients will develop petechial hemorrhages that become confluent subconjunctival hemorrhage. A similar process can occur in the pretarsal conjunctiva causing erythema and edema of the eyelids. The hemorrhage and edema can be so severe it may prevent closure of the eyelids and can mimic a traumatic ocular injury.