Living parasite in the eyelid

To report a rare case of living parasite in the eyelid. This case report was done in a tertiary care eye hospital in Bangladesh. We evaluated the patient thoroughly. CT scan of the orbit and histopathology were helped to diagnose the case. Per operative video recording, preoperative and postoperative photograph was documented properly. : A young boy presented with gradual swelling in the right upper eyelid. Clinically a firm mass was found in the right upper eyelid. CT Scan of the orbit revealed a cystic lesion in the eyelid. A live worm was extracted from the right upper eyelid. Parasitic lesion may be occurred in the eyelid. Ophthalmologist should be aware of the atypical presentation of the eyelid.