Cutaneous leishmaniasis (CL) is a protozoal disease that occurs in many parts of the world, usually caused by Leishmaniasis major and Leishmaniasis tropica and transmitted by sandfly bites. Eyelid involvement is rarely seen as the movement of the eyelids prevents the fly vector from biting the skin in this area. We report a case of cutaneous leishmaniasis with eyelid involvement causing preseptal cellulitis in a 71-year-old male patient.