If you have pimples around your eyes that are swollen and painful, consider folliculitis, acne, or blepharitis, etc. It is recommended that you go to the hospital in a timely manner to clarify the cause of the problem, and the treatment includes medication, surgery, and so on. 1. Folliculitis: Acne around the eyes can be caused by folliculitis. Folliculitis is a common inflammatory skin disease of the hair follicle, bacteria, fungi and other pathogens may cause hair follicle infection leading to folliculitis. Patients can follow the doctor’s instructions for medication, drugs include mupirocin, fusidic acid and so on. 2. Acne: Pimples around the eyes that are red, swollen and painful may be caused by acne. Acne is a common chronic inflammatory disease of the sebaceous glands of the hair follicles. The cause of acne is not clear, but may be related to androgen levels, Propionibacterium acnes reproduction. Patients can follow the doctor’s instructions for medication, drugs include adapalene gel, tazarotene and so on. 3. Blepharitis: Redness, swelling and pain of acne around the eyes may be caused by blepharitis. Blepharitis, commonly known as pinhole, is an acute purulent inflammation of the eyelid glands, often caused by staphylococcal infections. Patients can follow the doctor’s instructions for medication, drugs include levofloxacin eye drops, erythromycin eye ointment and so on. In case of refractory abscess, incision and drainage of pus should be considered. Pimples around the eyes are red, swollen and painful, it is recommended to go to the hospital in time to avoid delaying the condition. Drugs are required to follow the doctor’s instructions to use, do not blindly use their own medication.