Elderly people always roll their eyes may have epileptic seizures, supranuclear oculomotor paralysis, brain lesions and so on. 1. Elderly people’s epileptic seizures are mostly secondary, mainly related to cerebral hemorrhage, traumatic injury to the brain, infectious diseases in the brain and other reasons. During seizures in the elderly, there may be convulsions of the lateral limbs, speech disorders, impaired consciousness and other manifestations, as well as upturning of the eyes, i.e., rolling of the eyes. 2. Supranuclear ophthalmoplegia is mainly manifested as joint movement disorder of both eyes, which makes both eyes unable to move together. Some of the elderly patients may have abnormal eye rolling, which is characterized by total rolling of the eyes. 3. Brain lesions, such as cerebral hemorrhage, cerebral infarction, intracranial tumors, etc., which can lead to the phenomenon of rolling eyes. It is recommended that the elderly go to the hospital in time for examination to clarify the specific causes and timely treatment to avoid delaying the condition.