A 90‐year‐old demented woman from Andimeshk town, some 150 km away from our center, was brought to the Ophthalmology emergency room at Sina Hospital as a result of ocular rupturing and outpouring of hundreds of worm‐like organisms from the ruptured eye 24 h before admission and remarkable swelling of the orbital and periorbital area within the last 72 h. The patient had a leukomatous lesion on the cornea of the involved eye of 2 years' duration. Four months before admission, swelling of the lower eyelid and a continuous purulent and hemorrhagic discharge from the eye was reported by the patient's 67‐year‐old daughter who was taking care of her. The woman refused to go to hospital for the eyelid swelling and purulent discharge despite her daughter's repeated request. On admission, all orbital structures were involved and destroyed by the numerous larvae, which were so tightly packed that they could not move freely ( Figs 1–3). After orbital exenteration, the larvae were found to penetrate deep enough to involve the optic canal. 1 Chrysomyia bezziana invading and destroying the ocular structures 2 Close up of the orbital structures infested and destroyed by the larvae 3 Close up of the orbital structures infested and destroyed by the larvae A few of the larvae were collected and preserved in 70% ethanol and submitted for species identification to two centers at Chamran University. Both centers identified the species as follows: Order: Diptera Family: Calliphoridae Subfamily: Chrysomyinae Genus: Chrysomyia Species: Chrysomyia bezziana The larvae were whitish in color and measured 15 mm in length( Fig. 4). The exenterated tissues were sent for pathologic study. Basal cell carcinoma was reported ( Figs 5, 6). 4 Close up of Chrysomyia bezziana larvae 5 Basal cell carcinoma invading the exenterated tissues 6 Basal cell carcinoma invading the exenterated tissues