The redness inside the lower eyelid is also known as lid conjunctival congestion, which occurs for several reasons: i. Acute and chronic conjunctivitis, when inflammation of the lid conjunctiva occurs, the first manifestation is congestion and redness of the lid conjunctiva. Patients also experience foreign body sensation, tearing, and even increased secretions, which require anti-infective treatment. Blepharitis, also known as mydriasis, is a condition in which the lid conjunctiva is congested, painful, and enlarged with hard nodules and eyelid edema, and requires anti-infective treatment. Third, conjunctival stones, when secondary to infection, can also cause congestion of the lid conjunctiva. Therefore, when there is redness inside the lower eyelid, you should go to a regular eye care provider in time to avoid delaying the condition.