Objective To investigate the distribution of the elderly ocular surface tumors in the eyelid and conjunctiva, determine the characteristics of age distribution, and summarize the clinical features of the elderly ocular surface tumors. Methods A retrospective analysis was carried out on 46 cases of the elderly ocular surface tumors hospitalized in our department from December 2013 to September 2014 based on the clinical and pathological data. Results In 46 cases of the elderly ocular surface tumors, there were 25 males (54.35%) and 21 females (45.65%), with a non-significant ratio of male to female. There were 9 cases (19.57%) with malignant tumors or tumors having malignant tendency, and 37 cases of benign tumors (80.43%). Among the 39 cases of eyelid tumors (84.78%), 7 cases were malignant (17.95%) and 32 cases benign (82.05%). Seven cases had conjunctival tumors (15.22%), including 2 cases with malignant tendency or malignant tumors (28.57%) and 5 cases with benign tumors (71.43%). For the distribution of age, there were 26 cases (56.52%) at an age of 55 to 64, 14 cases (30.43%) at 65 to 74, 5 cases (10.87%) at 75 to 84, and only 1 case (2.17%) older than 85 years old. Conclusion The elderly ocular surface tumors are more commonly located in the eyelid, with malignant rate accounting for about 20%. So routine pathological examination should be required.