Macrophthalmia is primarily a bacterial infection that causes purulent inflammation of the lid gland. Since it is a bacterial infection, it is important to use anti-inflammatory medications. If the medication is not used in a timely manner or is not effective, the wheals will get heavier, more painful, and larger. If you find that the wheals tend to increase in size, oral antibiotics, such as cephalosporin or amoxicillin, are recommended, and local antibiotics, such as levofloxacin and tobramycin drops, are also needed for local anti-inflammatory treatment. Usually, with a combination of systemic and local medications, the degree of molluscum contagiosum can be controlled, but if an abscess forms, an incision and drainage is required. Therefore, if the granuloma is not controlled, it will get heavier and heavier, and the use of anti-inflammatory drugs must be increased to gradually improve.