Molluscum contagiosum is an acute inflammation of the lid glands caused by bacterial (usually staphylococcal) infection and is divided into external and internal molluscum depending on the location of the affected gland. Ectromelanoma is an infection of the sebaceous gland (Zeiss gland), which is part of the eyelash follicle, and is commonly referred to as a “needle’s eye”. It starts with a gradual increase in itchiness, edema and congestion of the eyelid, swelling and pressure pain, and a hard nodule that can be palpated near the lid margin. The pain is particularly pronounced in the outer canthus, the lateral bulbar conjunctiva is edematous, and the lymph nodes in front of the ear are enlarged and painful. After a few days, the nodules gradually soften and a yellow pus head is found at the base of the eyelash. Once the pus has penetrated the skin and drained outward, the redness and swelling rapidly subside and the pain is relieved. Internal mydriasis is an acute purulent inflammation of the lid gland. Because the lid gland is surrounded by firm facial tissue and the lesion is deep, the eyelid redness and swelling are not very pronounced. After suppuration of the gland, grayish-yellow pus heads can be seen faintly on the congested conjunctival surface, mostly breaking through the barrier between the lid and conjunctiva and flowing into the conjunctival sac, or draining from the opening of the lid gland, individually penetrating the skin. The redness and swelling subside as soon as the pus is drained. If the causative organism is highly virulent, the inflammation spreads and invades the entire lid before the pus penetrates outward to form an eyelid abscess. Hot compresses can be applied to promote suppuration before the pus head is formed, and mild inflammation may also disappear completely with hot compresses. Systemic and local antibiotics can also promote the disappearance of inflammation. Antibiotics can be given orally, intramuscularly, or intravenously, and they work well against septic bacteria. Once the pus head appears, it should be cut and drained in time, don’t wait until it breaks down by itself, this can reduce the pain of the sick child and can shorten the course of treatment. When an abscess appears, do not squeeze it by hand, because the eyelid is rich in blood vessels, and the veins of the eye are connected to the orbital veins and to the cranial cavernous sinus, and the eye veins do not have venous valves, so the blood can flow back in all directions, and squeezing can spread the inflammation and cause serious complications, such as orbital cellulitis, cavernous sinus embolism or even sepsis, which can be life-threatening. Local eye medication can be ordered, generally using 0.25% chloramphenicol eye drops can be, such as secretions with rifampicin eye drops good effect. After the child goes to sleep, you can apply chlortetracycline eye ointment. Do not rub the eye with dirty hands to avoid bringing bacteria into the eye and causing infection.