When a wheal is painless with a hard lump, it may heal after breaking, subside by self-absorption, or subside after surgical incision. Blepharitis is an acute purulent inflammation of the glands of the eyelids. If the inflammation occurs in the leptomeningeal glands, it is called internal blepharitis, and if it occurs in the eyelash follicles or their accessory glands, it is called external blepharitis. The acute phase of blepharitis is characterized by localized redness, swelling, heat, pain and other inflammatory manifestations, such as redness and swelling at the lid margins, and hard nodules that are obviously painful to touch. Two to three days after the occurrence of blepharitis, yellow pus spots may form. External blepharitis is more toward the skin, and can be broken through the skin itself; internal blepharitis is more toward the conjunctival sac broken. The symptoms are usually relieved after the ulceration, and gradually subside in 1~2 days, mostly healed in about 1 week. In a few patients, the hard nodules may not be punctured and drained of pus, and may subside after self-absorption. If the hard lump is formed by abscess, it should be incised and drained in time, and usually the hard lump will subside with the drainage of pus. If granulation tissue is formed and cannot be absorbed, surgery is usually needed to remove it. If the granuloma is no longer painful and has a hard lump, it is recommended to seek medical examination and treatment under the guidance of a medical professional to maximize the prognosis.