Abstract: Objective To analyze the clinical features and pathological classification of ocular tumor patients who aged 65 years old or more.  Design  Retrospective case series. Participatients Seven hundred and eighty four cases (795 eyes) of ocular tumor with biopsy-proven in patients ≥65 years old between January 2002 and December 2015 from Tianjin Eye Hospital. Methods The lesion location, clinical features and histopathologic classification of these lesions were performed to retrospectively investigated. Main Outcome Measures Pathological diagnosis and composition ratio. Results  Of 784 cases there were 375 men (47.8%)(381 eyes, 47.9%). Of 564 cases (71.9%) of eyelid tumor, there were 407 benign tumors(72.2%) and 152 malignant eyelid tumors（27.0%）. There were 9 cases (1.2%) of lacrimal sac tumors. Of 117 cases （14.92%）of ocular surface tumor, there were 94 benign tumors (80.3%) and 13 malignant tumors(11.1%). There were 18 cases (2.3%) of lacrimal gland tumors. Of 66 cases (8.4%) of orbit tumor, there were 34 benign tumors(51.5%) and 30 malignant tumors (45.5%). There were 10 cases(1.3%) of intraocular tumors. Conclusion The most common ocular tumors of patients ≥65 years old from 2002 to 2015 in Tianjin Eye Hospital were from eyelid tumors and ocular surface tumors. The malignant ocular tumors mostly located in eyelid and orbit. Basal cell carcinoma, sebaceous carcinoma and lymphoma were the most malignant ones. (Ophthalmol CHN, 2020, 29: 43-48)

Key words: old people, ocular tumor , pathology