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In the case reported here coloboma followed the removal of a portion of the upper eyelid for basal cell carcinoma. The growth involved both the conjunctiva and the skin and was removed by excising a full thickness section of the lid extending from the free margin to a little above the upper border of the tarsus. Following operation, a small portion of the eyelid near the inner canthus remained, with the median palpebral ligament. Five months later there was no sign of recurrence, but the conjunctiva was becoming increasingly irritated from exposure. For repair of this defect, it is essential to have a lining to replace the conjunctiva and a cutaneous surface for the outside of the lid. In this case the remaining fibers of the orbicularis oculi muscle above and at the sides of the defect provided good closures, and sufficient of the levator attachment remained to