Morgellons disease is characterized by complaints of uncomfortable skin 
sensations and fibers emanating from nonhealing skin lesions. Morgellons disease 
is well-known in the dermatology and psychiatry literature, where it is 
typically considered a subtype of delusional parasitosis, but it has not yet 
been described in the ophthalmology literature. A patient with self-reported 
Morgellons disease is presented, who was referred for evaluation of left lower 
eyelid ectropion. She reported that her skin was infested with fibers that were 
"trying to get down into the eyelid." On examination, she had ectropion of the 
left lower eyelid, broken cilia, and an ulcerated left upper eyelid lesion 
concerning for carcinoma. Biopsy of the lesion was consistent with excoriation. 
Treatment of her ectropion was deferred out of concern for wound dehiscence, 
given the patient's aggressive excoriation behavior. This case is presented to 
make the ophthalmologist aware of this disorder and to highlight the appropriate 
clinical management.