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Dark circles under only one eye? Surgeon explains what different shades mean and when you should seek medical attention

Дата публикации: 03-08-2026 09:12:46

From swollen dark circles to purple shades: Learn from an expert on when you should seek a healthcare professional for dark circles. 

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Can dark circles become a health concern? (Picture credit: Freepik)
Can dark circles become a health concern? (Picture credit: Freepik) From swollen dark circles to purple shades: Learn from an expert on when you should seek a healthcare professional for dark circles. 

Dark circles are typically treated as a cosmetic concern, with many skincare products claiming to reduce their appearance. However, under-eye darkness is not always caused by inadequate sleep or exhaustion. It may develop due to several factors, and more importantly, dark circles may also require medical attention when they appear alongside certain other additional symptoms.

ALSO READ: Do you read while lying in bed? Ophthalmologist reveals why it is unsafe for your eye health: ‘Can cause headaches…’

Dr AAV Ramalinga Reddy, senior cataract surgeon at Dr Ramalinga Reddy Maxivision Super Speciality Eye Hospitals, decoded why dark circles develop, what different shades may mean and when they should be taken as a medical concern.

Why may dark circles happen?

Despite many products being marketed as solutions for lightening dark circles, the eye specialist cautioned against treating them solely as a cosmetic concern. Dark circles have many different causes, which means no single cream can magically fix the cause.

“In some people, it may be linked to skin pigmentation, while in others it may result from loose lower-eyelid skin, visible blood vessels, under-eye bags, or ongoing eye irritation,” he said. Sometimes, it may just be temporary as well, because of stress, poor sleep or exhaustion.

Dark circles are of different sizes and variations. (Picture credit: AI-Generated)Dark circles are of different sizes and variations. (Picture credit: AI-Generated)
What do different colours tell?

Dark circles do not always appear in a single shade. They may look blue, purple or brown. The surgeon confirmed that this is because the skin beneath the eyes is extremely thin and delicate, allowing the underlying blood vessels and muscles to show through. So, what could these different colours mean?

He simplified, “Brown-toned circles could be related to pigmentation, whereas blue or purple could be visible blood vessels under thin skin. Darkness that changes under different lighting may be caused by structural shadowing because of facial structure. Puffiness accompanied by itching and congestion can suggest allergies."

The doctor noted that sometimes it is a mix of different factors, which is why, again, he reiterated a single cream will not make it disappear.

When should you seek medical advice?

The surgeon advised seeking medical advice on these grounds: “Darkness or swelling that develops under only one eye, becomes progressively worse, or persists with significant skin or allergy symptoms should be assessed by a healthcare professional. Pain, redness, vision changes, or discolouration following an injury also require prompt medical attention.”

He concluded that usually dark circles are harmless, but when you see the above-mentioned signs, you should take it seriously.

About the expert: Dr A. A. V. Ramalinga Reddy has over 35 years of experience in practising eye care

Note to readers: This article is for informational purposes only and not a substitute for professional medical advice. Always seek the advice of your doctor with any questions about a medical condition.

  • Adrija Dey

    Adrija Dey’s proclivity for observation fuels her storytelling instinct. As a lifestyle journalist, she crafts compelling, relatable narratives across diverse touchpoints of the human experience, including wellness, mental health, relationships, interior design, home decor, food, travel, and fashion that gently nudge readers toward living a little better. For her, stories exist in flesh and bones, carried by human vessels and shaped through everyday endeavours. It is the small stories we live and share that make us human. After all, humans and their lores are the most natural and raw repositories of stories, and uncovering them, for her, is akin to peeling an orange under a winter afternoon sun. Always up for a chat, she believes the best stories come from unfiltered yapping, where "too much information" is kind of the point. A graduate of Indraprastha College for Women, University of Delhi, and an alumna of the Indian Institute of Mass Communication (IIMC), Delhi, Adrija spends her idle hours cocooned with herbal tea and a gripping thriller, scribbling inner monologues she loosely calls poetic pieces, often with her succulents in attendance. On lazier days, she can be found binge-watching, for the nth time, one from her comfort-show holy trinity: The Office (US), Brooklyn Nine-Nine, or Modern Family. Dancing by herself to her peppy playlists, however, is an everyday ritual she swears by religiously.Read More

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