Spots around the patient’s eyes may be caused by melasma, freckles, seborrheic keratosis and other diseases. 1. Melasma: the cause of this disease is not yet clear, and it may be related to factors such as heredity, ultraviolet irradiation and changes in sex hormone levels, which lead to impaired metabolism of melanin in the skin or impaired epidermal barrier function. If the patient suffers from liver disease, tuberculosis and other chronic diseases, it will increase the risk of developing the disease. Generally, it occurs in the sunlight-exposed parts of the face, and can be manifested as spots around the eyes. 2. Freckles: Studies have shown that this disease is mainly caused by heredity and light exposure, and it usually occurs in women and light-skinned people. Freckles are mainly distributed in the cheeks and nose, and may spread to the upper eyelids, so some patients will have spots around the eyes, with the color ranging from light brown to dark brown. 3. Seborrheic keratosis: The occurrence of this disease is mainly related to skin aging, heredity and gene mutation, and can be induced by viral infection, ultraviolet radiation, tumor, drugs, air pollution and other factors, resulting in the appearance of plaques on the head, face and neck of the patient, so the plaques may appear around the eyes. It is recommended that patients with plaques around the eyes accompanied by other discomforts should consult a doctor in time to evaluate their condition and follow the doctor’s instructions for treatment.