A dull ache around or behind the eyes is a common complaint with many benign and some serious causes. It often relates to strain, pressure, or inflammation.
Frequent Sources
Eye strain from uncorrected refractive error, prolonged near work, and dry eye often produces a heavy, aching sensation. Sinus disease, tension headache, and raised eye pressure in glaucoma or uveitis can also cause deep ache around the orbit.
- Pain that worsens with reading or screen use often reflects strain
- Sinus-related ache may change with posture and be tender to touch
- Glaucoma and uveitis usually also cause visual or redness changes
- Cervical spine and muscle tension can refer ache to the peri‑orbital region
Evaluation
A combined eye and medical history helps distinguish ocular from non‑ocular sources. Eye examination assesses pressure, inflammation, and refraction, while systemic review may consider sinus or neurological causes.
- Persistent dull ache with visual symptoms needs prompt eye assessment
- Ergonomic adjustments and updated glasses often relieve strain-related ache
- Management of sinus or migraine disorders may be required
- Warning signs such as jaw pain or scalp tenderness should not be ignored
