Macrophthalmia is a purulent inflammation of the lid gland caused by bacteria. In the early stages, when there is only redness and pain in the eyelid and small hard nodules, topical medications such as levofloxacin and ofloxacin from the quinolones, tobramycin eye solution and ointment from the aminoglycosides, and hot compresses on the eyelid 3-4 times a day can be used. In some patients, the infection can be controlled to promote absorption, but in others, the infection cannot be controlled to develop and an abscess cavity is formed. When a yellowish-white pus head appears on the surface of the skin or on the conjunctival surface of the lid, it means that the pus has formed in the lid gland, and it is necessary to go to the hospital to incise the cavity and drain the pus from it, and it is important not to squeeze the pus head by hand to avoid the spread of the infection. If there is significant redness and swelling of the eyelid, accompanied by generalized fever and chills, appropriate oral anti-infective therapy can be administered.