A 7-week-old girl presented with a right upper eyelid mass. She was born at a gestational age of 30 weeks by Cesarean section with a birth weight of 935 g. She had since been in the neonatal intensive care unit, where she was treated for pulmonary insufficiency, anemia of prematurity, and meconium plugging. The right upper eyelid lesion was deep red in color, had been present for 3 days, and was growing. Notably, on retinopathy of prematurity (ROP) rounds one week before, no right upper eyelid lesion had been appreciated.