The purpose of this study was to evaluate the proportion of eyelid tumors, compare the clinical diagnosis with histopathological diagnosis in all possible cases in a tertiary eye hospital over a 5-year period. MATERIALS AND METHODS: Retrospective chart review was performed for patients with eyelid tumors from June 2009 to June 2014.Data were collected and analyzed on location of tumor, types of treatment, and pathologic findings. Histopathological diagnosis of benign and malignant tumors was stratified based on age, gender and tumor location. RESULTS: Total number of 235 patients was evaluated of which, 216 (91.9%) cases were benign and 19(8.1%) cases were malignant neoplasms. Most common benign tumors included epidermal cyst(30.5%), nevi (17.5%), dermoid cyst (13.8%) and papilloma (6.5%).Most frequent malignant tumors included Sebaceous gland carcinoma (SGC) (31.6%), Basal cell carcinoma (BCC) (26.3%), Squamous cell carcinoma (21%), Malignant melanoma (10.5%), Merkel cell carcinoma(5.3%) and Lymphoma (5.3%).Most common site for malignancy was lower lid followed by upper lid. BCC recurred in 1case in lower lid. CONCLUSION: Epidermal cyst, nevi, dermoid cyst and papilloma are the most common benign lesions and SGC is the most common malignant lesion. Recurrence is a feature of BCC in lower lid.