A 74-year-old man presented to the ophthalmology department with an 8-month history of a tumor in his left eye. Examination showed a fleshy tumor with a cauliflower-like appearance involving the conjunctiva and cornea (Fig A). An excisional biopsy was performed, and pathological analysis showed squamous cell papilloma of the conjunctiva. Histology slide showed papilloma of the conjunctiva (Fig B). Conjunctival papilloma is an acquired benign epithelial tumor of the conjunctiva, and may manifest as a sessile or pedunculated conjunctival mass. Conjunctival papilloma often requires surgical excision. Other interventions include perilesional cryotherapy, intralesional treatment, or multiple choices of topical treatment modalities for managing conjunctival papilloma, and recurrences are not uncommon (Magnified version of Fig A-B is available online at www.aaojournal.org).