Background: Ophthalmic pathology is a distinct branch of pathology that deals with various ocular lesions excised by ophthalmologists. They fall into various categories such as inflammatory, benign, premalignant and malignant and show varied clinical presentations. The definitive diagnosis depends on histopathological study of these lesions. Material and Methods: The present study was conducted as a cross sectional study in the department of pathology, of our tertiary care institute. Total 124 cases included in the study during a period of 2 and half years, i.e. January 2015 to August 2017. Results: Out of total 6301 cases in 2 and half years, ocular lesions were 124 cases (1.96%), maximum cases were in the age group of 3140 years. Among ocular lesions, maximum cases received were eyelid lesions followed by the lesions of conjunctiva. Among total ocular lesions, Nonneoplastic lesions comprised of 32.26%, benign lesions were 54.84%, premalignant lesions were 4.03 % and malignant lesions were 8.87%. Conclusions: Most common ocular malignancy was squammous cell carcinoma and most common nonneoplastic condition found was chronic dacryocystitis. Every lesion presents in a variety of clinical forms in different patients. Hence each lesion must be excised and proper histopathological diagnosis must be made to exclude malignancy.

Keywords: Dacryocystitis; Eyelid; Ocular Lesions.