Pain above the eye with a small pimple-like swelling can be due to a local infection, blocked gland, or early boil in that area. Keep the area clean, avoid touching or squeezing it, use a warm compress, and give it time to heal. Watch for signs like increasing swelling, redness, or vision changes. If discomfort continues or worsens despite treatment, consult a doctor to check the area and guide further care.