Small red spots around the patient’s eyes may be caused by eye allergies, eyelid eczema or blepharitis. 1. Eye allergy: When allergic patients are exposed to allergens such as hair and pollen, eye allergy may occur, and small red dots may appear around the patient’s eyes, accompanied by eye itching and other uncomfortable symptoms. 2. Eyelid eczema: Eczema is an allergy-related skin disease that can cause small red dots around the eyes, often accompanied by itching around the eyes. 3. Blepharitis: Blepharitis is an acute suppurative inflammation of the eyelid glands. Under the stimulation of inflammation, patients may experience redness, swelling and pressure pain in the eyelids. It is recommended that patients with small red dots around the eyes and discomfort should seek medical attention in a timely manner to assess their condition and follow the doctor’s instructions for treatment.