A 70-year-old woman presented with a slow-growing right lower eyelid lesion. Histopathologic and immunohistochemical evaluation of an excisional biopsy revealed a neuroendocrine neoplasm, consistent with a typical carcinoid tumor. Systemic investigation for occult visceral primary tumor was negative. Re-excision of the lesion for free surgical margins was performed. Eight months later, the patient remains well with no evidence of other primary malignancy or metastatic disease.