Conjunctivallocalization of MALT lymphomais rare but remains the mostfrequentoculo-annexaltumor, either in itsprimary or secondaryform. Although the clinicalpresentationis not specific, it must besystematicallyevoked in front of anyconjunctival mass of salmoncolor. The therapeutic management ismultidisciplinary with severalmodalities. The prognosisisgenerally good.We report the case of a 62-year-old woman with bilateralprimaryconjunctival MALT lymphomawhowasinitiallyadmitted for bilateralexophthalmos of progressive onset, presenting as a painlesssalmon-pink mass in the conjunctiva of botheyes. The diagnosiswasestablished by morphological and immunohistochemicalanalysis. Treatmentwasbased on systemicmultidrugtherapy.