Kaposi first described this unusual form of neoplastic growth,1 in 1872, as an idiopathic multiple-pigmented sarcoma. Since then this condition has also been referred to as Kaposi's disease, Kaposi's sarcoma, or multiple hemorrhagic sarcoma. According to Ewing,2 this relatively rare condition is seen chiefly in southern Europe and usually affects persons in the older age group (40 years of age and older). The extremities are most frequently involved with coming manifest in the feet and legs.3 Characteristically multiple soft bluish nodules develop in the skin of the extremities, but these lesions can appear elsewhere and may involve almost any organ of the body. Although upward of 700 cases have been reported in the literature, probably less than 7 of these cases have presented with the primary lesion situated in the orbital region. Reese described a case of Kaposi's sarcoma involving the lacrimal sac,4 and Sacks has