In stricto sensu cutaneous leishmaniasis from 2 to 5 p. 100 of the facial lesions are localized on the eye-lids, most often on the external corner. The pathologic pattern is comparable to what can be observed on the rest of the skin but the fragility of eye-lid gives a special risk of local spreading. The most common aspect is chalazion-like but ulcerous, phagedenic and cancer-like forms may be observed. Lacrymal ducts are sometimes involved. In muco-cutaneous leishmaniasis the lesions are more destructive and may lead to eye loss. The authors consider the diagnosis and the appropriate treatment.