Needle eyes are medically known as mydriasis and blepharitis, and usually disappear on their own in about 1 week if they do not cause complications such as cellulitis. If complications such as abscesses or cellulitis develop, the eye will not go away on its own and treatment is required. A pinhole is an acute inflammation of the lid gland due to bacterial infection of the lid gland at the base of the eyelashes, which is manifested by redness, swelling and pain in the lid gland. Needle eyes are associated with exertion and low resistance. If the redness and pain is limited to the lid gland, most patients can heal themselves in 1 week by adhering to daily hot compresses, promoting blood circulation around the eye, paying attention to eye hygiene and rest, and eating a light diet. If an abscess forms, the patient’s immune system is not strong enough to resist the inflammation and will need to be treated with an incision and drainage and anti-infective medication under the guidance of an ophthalmologist. In addition, patients should be aware that they should not squeeze the lesion and should seek the help of an ophthalmologist when the symptoms are more serious.