CASE A 50-year-old patient presented with a left eye caruncular mass of 5-year duration. Examination revealed a fleshy mass originating from the left nasal upper and the lower lid, involving the nasal conjunctiva and the whole of the cornea. The mass was excised and histopathological examination revealed the presence of LD bodies, the hallmark feature of leishmaniasis. CONCLUSION Ocular leishmaniasis is a potentially blinding disease and delay in diagnosis and treatment can cause irreversible damage to the eye and adnexae. Due to the uncommon occurrence of this disease, its diagnosis and treatment remains a challenge.