Hooded Eyes: Causes and Treatment
A person is said to have hooded eyes when their upper eyelids are covered by an excess fold of skin coming down from the brow
Feeling a dull, heavy, or tight pressure behind the eyes can be uncomfortable and concerning. While sometimes harmless, this symptom may also point to medical conditions such as sinus infections, optic nerve inflammation, or even glaucoma. Recognizing the causes and seeking timely care can prevent complications.
Many people describe pressure behind the eyes as a sense of fullness or tightness, sometimes accompanied by headaches, blurry vision, or discomfort on one side (for example, behind the left or right eye). It may last only briefly or persist for days.
In some cases, the cause is simple—like eye strain or sinus congestion. But persistent or severe eye pressure may be an early warning sign of conditions requiring medical attention.
This sensation is often unrelated to high intraocular pressure (the kind measured in glaucoma). Instead, it commonly arises from nearby structures—such as the sinuses, nerves, or surrounding tissues. Depending on the cause, additional symptoms may include:
While mild cases are often linked to sinus congestion or fatigue, more serious conditions like optic neuritis or thyroid-related eye disease can also present with pressure.
Headaches are one of the most frequent causes of eye pressure. Migraines can produce a squeezing pain behind one or both eyes, often with light sensitivity, nausea, or blurred vision. Tension headaches may cause a tight, band-like sensation around the forehead and eyes.
Management: Over-the-counter pain relievers, rest in a dark room, and medical evaluation if headaches are frequent or severe.
Blocked or swollen sinuses located behind the nose and eyes can cause deep facial pressure that worsens when bending forward. Symptoms may include nasal congestion, facial pain, and low-grade fever.
Management: Saline sprays, steam inhalation, and in bacterial cases, prescribed antibiotics. Chronic or severe sinusitis may require ENT consultation.
This condition involves inflammation of the optic nerve, leading to pain behind the eye, especially with eye movement. Vision may become blurred, colors appear dull, and flashing lights may be noticed. Optic neuritis is often linked to autoimmune diseases like multiple sclerosis.
Management: Corticosteroids to reduce inflammation and specialist evaluation, often by a neurologist and ophthalmologist.
An overactive thyroid can cause swelling of tissues and muscles around the eyes, producing pressure, bulging eyes, dryness, and double vision.
Management: Treatment of the underlying thyroid disorder, lubricating eye drops for dryness, and regular monitoring to protect vision.
Infections of the upper teeth can spread due to shared nerve pathways, sometimes causing pressure behind the eyes along with tooth pain and swelling.
Management: Dental treatment, antibiotics if infection is present.
Injury around the eye sockets can result in swelling, bruising, and a sensation of pressure. Severe cases may involve fractures or vision changes.
Management: Ice packs for minor trauma; urgent medical care for vision problems or suspected fractures.
Doctors evaluate eye pressure symptoms through a detailed history and examination. Common assessments include:
Referral to specialists—such as an ophthalmologist, neurologist, or ENT physician—may be required depending on suspected cause.
Treatment is always tailored to the underlying condition:
Persistent or worsening pressure behind the eyes should never be ignored, as early diagnosis often prevents long-term damage.
Resting your eyes, using warm or cool compresses, staying hydrated, and managing allergies may help mild cases. Persistent symptoms need medical evaluation.
Seek urgent care if you experience sudden vision loss, severe pain, double vision, drooping eyelid, or swelling after injury.
Is eye pressure always linked to glaucoma?
No. Many cases stem from sinus issues, headaches, or inflammation. However, glaucoma is a serious condition—regular eye exams are essential if you are at risk.
Keratoconus | Excessive Eye Blinking | Importance of Eye Donation | Chalazion | Stye in the Eye | Keratitis | Paralytic Squint | Endophthalmitis | Blurred Vision | Slit Lamp Test | Types of Cataract Surgery | Is Cataract Surgery Painful | Watery Eyes After Cataract Surgery | Intumescent Cataract | Rosette Cataract | Cortical Cataract | Eye Injury | Blurry Vision after LASIK | Lasik Eye Surgery Cost | Is Lasik Eye Surgery Painful | Lasik Surgery Success Rate | Cataract Surgery Cost | Astigmatism | Retinal Thinning | Nystagmus | Dry Eyes
A person is said to have hooded eyes when their upper eyelids are covered by an excess fold of skin coming down from the brow
Feeling a dull, heavy, or tight pressure behind the eyes can be uncomfortable and concerning. While sometimes harmless, this symptom may also point to medical
Squint surgery aims to align the eyes. Many ask about its success. Let us explain what works, what affects outcomes, and how the squint surgery
Humidity and poor hygiene increase the risk of eye problems during the monsoon. Follow these monsoon eye care tips to keep your vision healthy. Prevention
LASIK surgery can correct vision for years. But results may change based on eye health. Understanding how long LASIK lasts helps manage expectations and plan
Flapless LASIK offers a no-flap, blade-free method for correcting vision problems like myopia and astigmatism. Let us find out more about this procedure.