A 26-year-old woman with anorexia nervosa was admitted to our institution with a height of 1.524 m (5 ft), a weight of 25.5 kg (56.7 lb), a BMI of 10.9, and a percentage of ideal body weight of 56%. In her first week of hospitalization, her medical complications included volume depletion, bradycardia, hypoglycemia in the single digits, hyponatremia, pancytopenia, starvation hepatitis, dysphagia causing aspiration, patulous eustachian tubes with autophonia, and refeeding hypophosphatemia. On the day of admission, she also complained of dry, irritated eyes with photophobia, and an initial examination showed pseudoptosis and enophthalmos, which were not formally measured, and 1-mm lagophthalmos. Topical lubrication was prescribed, with several drops of artificial tears in each eye hourly during the day and a ribbon of sterile ophthalmic ointment followed by direct taping of the eyelids during the night. The patient's weight reached its nadir on hospital day 5, at 23.8 kg (52.8 lb), and on hospital day 11, without any improvement in her symptoms, she was evaluated by an ophthalmologist. Examination confirmed enophthalmos bilaterally and 1-mm lagophthalmos, and corneal inspection revealed mild bilateral punctate epithelial erosions without frank defects or ulceration. Continued topical protection with nightly taping was recommended, and on hospital day 24, the patient's symptoms had resolved completely, with a weight increase from nadir of 4.5 kg (10 lb; Tables 1 and 2).