---
title: What causes dull ache?
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/symptoms-signs/what-causes-dull-ache/"
updated: "2025-12-12"
category: "Symptoms & Signs"
---

# What causes dull ache?

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