Melkersson-Rosenthal syndrome is an uncommon disorder of uncertain aetiology 
characterized by orofacial oedema, facial nerve palsy and lingua plicata. The 
triad is seldom seen in its complete form, and oligo-symptomatic or 
mono-symptomatic forms are more common. An unusual case of Melkersson-Rosenthal 
syndrome involving the left upper eyelid is presented. The pathology, clinical 
features and management of this disorder are discussed.