I have two big bumps connected together on the end of my eyelid what could this be? (Photo)

Hi greetings from the UK! Yes I quite agree with my oculoplastic colleagues. These lesions look like benign cysts of the sweat glands (aka sudoriferous cysts or hydrocystoma). Very rarely clear cysts can arise due to an underlying skin cancer component (cystic BCCs) but that's pretty uncommon. Yes I would recommend seeing an oculoplastic surgeon so that they can examine it under a slit lamp microscope. If there are any sinister features then they may recommend a biopsy but on the whole if there aren't any sinister features and clinically the lesion looked like a benign hydrocystoma only, then these lesions can be left alone ( if they didn't bother you cosmetically) and only removed if they enlarge so much that they become a functional problem (e.g. if they become so big that they interfere with your vision)

Hi and thank you for reaching out. Those bumps are likely eccrine hidrocystomas, which are benign cysts of sweat glands. Make an appointment with an Oculoplastic surgeon, an eyelid specialist and have them examined to make sure and to have them removed. Best of luck.