The causes of heavy dark circles around the eyes are chronic inflammation of the eye, ocular hemangioma, medication factors, etc. The causes are different, the treatments are different, and the commonly used treatments are medication, physical therapy, and surgical treatments. 1. Chronic inflammation of the eye: local skin pigmentation caused by chronic eye inflammation stimulation, can be treated with medication, such as tobramycin dexamethasone ophthalmic ointment. Physical therapy can also be used, such as local massage of the eyes, hot compresses, etc., to promote the absorption of pigment to improve the symptoms. You can also choose surgical treatment, such as laser surgery. 2. Ocular hemangioma: If there is hemangioma in the patient’s eye socket, it will lead to the formation of a heavy dark circle around the patient’s eye. Surgical treatment, such as hemangioma excision, can usually be chosen to improve the symptoms. 3. Drug factors: If patients use eye drops of prostaglandin derivatives for a long time, it will lead to pigmentation of the skin around the eyes, which will cause patients to have heavy dark circles under the eyes, first of all, we should stop using this kind of drugs, replace other types of drugs to reduce intraocular pressure for the treatment of the disease, so that the pigmentation will slowly subside. If the patient appeared around the eyes dark circles around the situation is very heavy, may also be other reasons, it is recommended that patients go to the hospital in a timely manner, improve the relevant examination, clear cause, follow the doctor’s instructions for treatment.