bacillary angiomatosis of the anterior orbit eyelid and conjunctiva purpose to report a case of bacillary angiomatosis of the lower eyelid conjunctiva and anterior orbitdesign interventional case reportmethods a 76yearold immunocompromised male patient developed a firm vascularized nodule in his left lower eyelid and anterior orbitresults an excisional biopsy was performed histopathologic examination revealed an abnormal vascular proliferation and a mixed inflammatory infiltrate a warthinstarry stain showed numerous bacilli these findings are characteristic of bacillary angiomatosis a serologic specimen was positive for antibodies to bartonella quintanaconclusion the lower lid and anterior orbit are rare locations for bacillary angiomatosis our case brings to attention the increasing importance of bartonella infection as a causative agent of ophthalmic diseases