Patients with small hard bumps under the eyelids may be caused by blepharitis, blepharopharyngitis cysts, etc. Patients can be treated with hot compresses, medication or surgery to promote the absorption of the swelling. Blepharitis is a common disease in ophthalmology, is a purulent inflammation of the eyelid glands, the patient’s eyelids may appear red, swollen, painful and other discomforts, but also the formation of hard nodules, the patient can follow the doctor’s instructions to use antibiotic eye ointment treatment, such as levofloxacin ophthalmic ointment, tobramycin eye ointment, erythromycin ophthalmic ointment, etc., to control the inflammation. In the later stage of abscess formation, the patient can feasibly incise and drain the abscess to promote the subsidence of abscess. Blepharoplast cysts are formed when the opening of the blepharoplast gland inside the eyelid is blocked by sticky secretions, resulting in the subsequent accumulation of secretions, patients can be treated with localized hot compresses on the eye to promote the recession of cysts. If the size of the cyst is large, the patient can have surgery to remove the swelling. It is recommended that patients with elevated eyelid swellings seek medical attention to evaluate their condition and follow the doctor’s instructions for treatment.