Swelling of the upper eyelid, we should be alert to conjunctivitis, granuloma and other local lesions of the eye, and systemic lesions that lead to abnormal cardiac, hepatic and renal function. 1. Eye localization: lesions include conjunctivitis, granuloma, chalazion, contact blepharitis, ocular contusion and so on. (1) Conjunctivitis and chalazion: the main manifestation is redness and swelling of the eyelids, accompanied by pain and other discomforts. (2) Chalazion: The main manifestation is the appearance of swelling in the eyelid, most of the skin color is normal, not accompanied by pain and other discomforts. (3) Contact blepharitis: the main manifestations are redness and edema of the eyelid skin. Eyelid swelling caused by eyelid contusion is mostly accompanied by subcutaneous bruising, and the eyelids show purple swelling. 2. Systemic lesions: mainly refers to the heart, liver, kidney and other functions can be caused by abnormalities, such as diabetes caused by renal insufficiency, hypertension caused by cardiac function abnormalities, there will also be upper eyelid swelling. Eyelid swelling caused by systemic lesions, most of the performance of the two eyes swollen, and there is no change in skin color. Swelling of the upper eyelid, it is recommended to go to the regular hospital in time to receive examination, a clear diagnosis, and follow the doctor’s instructions for treatment.