Macrophthalmia is a common ophthalmic condition that is caused by acute inflammation following the invasion of septic bacteria into the lid glands. The indication for surgery for this condition generally requires the formation of a subcutaneous abscess on the eyelid that has failed to respond to conservative treatment, in which case surgery may be considered. A more intuitive indication for surgery is the ability to feel a hard nodule or soft lump under the eyelid and a significant reduction in pain, in which case surgery may be considered. The procedure is very simple and involves making an incision on the surface of the abscess to completely release and drain the pus, which allows for a rapid return to normal. After the surgery, antibiotic drops and ointment should be continued to relieve local inflammation, and local hot compresses need to be applied to make the post-operative recovery faster.