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Background: Tumours of eyelids are common in people of both sexes and all age groups representing more than 90% of all ophthalmic tumours. Most of the tumours are diagnosed clinically. The treatment depends on site, extent of spread and the invasiveness of the tumour. Objective: To study the clinical presentations, types and management of eyelid tumours and its histopathological confirmation. Methods: A prospective study was conducted on patients presented with eyelid tumours to the Sarojini Devi Eye Hospital, Hyderabad during December 2007 to November 2009. Tumours were diagnosed clinically. Treatment was planned according to the nature of lesion. Data were presented as frequencies, mean ± Standard Deviation (SD). Unpaired t test was used to test the significance of difference of the type of the tumour with age, eye and eyelid involvement. Results: A total of 100 cases, 52 were females, 48 cases involved right eye, 61 cases were benign and 39 malignant. The mean age of the participant in benign tumour was 37.02 ± 16.847 years and of malignant tumour was 58.59 ± 11.271 years and this difference was statistically significant (p<0.05). There was no statistically significant difference observed in the context of type of tumour, eye and eyelid involvement (p>0.05). Commonest benign tumour was intradermal nevus with 17 cases, whereas Basal cell carcinoma and Sebaceous gland carcinoma presented equally in 16 cases each. Conclusion: A significant proportion of tumours were malignant, predominantly Sebaceous gland carcinoma and Basal cell carcinoma. Majority of malignant tumors were observed above 60 years of age.