This study reports 112 caruncular lesions seen in the Eye Pathology Laboratory of the Wilmer Institute during a 52-year period (1923--1976). These uncommon lesions are analyzed with regard to their relative occurrence and their clinical and histologic features. Clinical grouping of these lesions is presented to help in the differential diagnosis of caruncular lesions. Nevi, papillomas, and sebaceous gland hyperplasia were the most commonly encountered lesions, accounting for 65% of the total.