The first case of orbital paecilomycosis is described. Fungal hyphae were found in a KOH preparation of the granulomatous tissue, removed from the orbit, and also in histological sections. Culture of the tissue was positive for fungus which was resistant to cycloheximide (0.5 g/l). It was identified as Paecilomyces lilacinus (Thom) Samson (IMI 213487) and shown to be pathogenic for the rabbit cornea.