Kimura's disease is a chronic inflammatory disease involving connectiv
e tissues. We treated a patient with bilateral periocular Kimura's dis
ease causing eyelid deformity and exophthalmos for over 20 years, She
has been operated on 23 times and biopsies were taken and studied hist
ologically. The disease continued despite the multiple surgical excisi
ons. The consequent exophthalmos and lid changes caused lagophthalmos
that resulted in severe visual impairment due to chronic bilateral cor
neal exposure, Kimura's disease may have a devastating effect on visua
l function.