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Introduction: Eyelids are the shields of human eye which protect from injury. When eyelids do not function properly, they irritate the eyes and lead to visual problems. Varying lesions affecting the eyelids are encountered which can be divided into congenital, inflammatory, cystic, benign and malignant.Aim: This study was done to know the proportion and study the morphology of eyelid lesions in a tertiary care hospital. Also to discern the rate of benign versus malignant eyelid lesions and correlate results with other similar studies.Materials and Methods: This observational and descriptive study was carried out in the Pathology Department of a Tertiary Care Hospital. Statistical analysis of histopathological reports of surgical specimens of eyelid lesions obtained from patients was done on the basis of various parameters like age, sex, location and histopathology type. These findings were analysed using various statistical methods and compared with findings of other authors to derive relevant conclusion.Results: The highest incidence of eyelid lesions was observed in the age group of 31-40 years (17.39%) and the lowest incidence of eyelid lesions was in the age group more than 80 years (0.86%). Males were found to be more affected than females (57.82% Vs 42.18%). Right upper eyelid (40%) was the most commonly involved. Benign lesions were common in children and young adults whereas malignant lesions were common after 60 years of age. Benign lesions were more common than malignant lesions in eyelid. Amongst the benign eyelid lesions, prevalence of nevus (12.17%) was the highest followed by epidermal cyst (11.30%), dermoid cyst (9.56%) and haemangioma (8.26%). Amongst the malignant eyelid lesions, prevalence of Squamous Cell Carcinoma (SCC) (10.43%) was the highest followed by sebaceous cell carcinoma (9.13%) and Basal Cell Carcinoma (BCC) (8.25%).Conclusion: The epidemiology of eyelid lesions in this study population was different from populations in other similar studies. Benign lesions were more common than malignant lesions in eyelid. Nevus was the most common benign lesion and SCC was the most common malignant lesion in this study.
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