Antibiotics are increasingly found in urban lakes, posing significant ecological risks to lake ecosystems. The impact of sponge city facilities on urban flood control is significant; however, their influence on the exposure characteristics and risks associated with antibiotics in urban inland lakes remains unclear. This study investigated the exposure characteristics and evaluated the ecological risks of 15 antibiotics across seven lakes of Fuzhou (as the target of sponge city) in different seasons, in comparison to non-sponge cities. The results revealed that 12 antibiotics were consistently detectable across all lakes, with concentrations ranging from non-detectable (ND) to 20.61ng/L, with sulfamethoxazole (SMX) emerging as the predominant contaminant. Most antibiotics exhibited higher concentrations in the dry season, attributed to environmental conditions, biological mechanisms, and their physicochemical properties. SMX, tetracycline (TTC), oxytetracycline (OTC), and ciprofloxacin (CIP) posed moderate to high ecological risks, with risk quotient (RQ) values of 0.46, 0.14, 0.17, and 0.61, respectively, while the remaining antibiotics presented lower ecological risks in both seasons. Notably, the RQ values for TTC, OTC, and CIP were elevated during the dry season, whereas SMX displayed a higher RQ value in the wet season, indicating an increased ecological risk during the dry months. In comparison to non-sponge cities, sponge cities exhibited significantly lower concentrations of nearly all antibiotics, particularly during the wet season (p ≤ 0.05). Moreover, over 85% of the antibiotics in non-sponge cities were classified as high risk, contrasted with only 55% in sponge cities, underscoring the heightened ecological risks associated with non-sponge urban designs. This study provides critical insights for controlling antibiotic pollution in the lakes of Fuzhou and serves as a valuable reference for maintaining aquatic ecosystem health through the implementation of sponge city infrastructure.