Spots under the eyes may be caused by prolonged staying up late, seborrheic keratosis, chloasma, cirrhosis of the liver and so on. 1. Long-term staying up late: if you stay up late for a long time, it may easily lead to endocrine and nervous system dysfunction, which may cause skin dryness, pigmentation, lack of luster, and spots under the eyes. 2. Seborrheic keratosis: also known as age spots, mostly seen in middle-aged and old people over 50 years old, which may be related to heredity and sunlight exposure, etc. It is easy to appear spots of different sizes in the eyes, limbs, chest and back, etc., and is usually painless. 3. Chloasma: Chloasma, also known as pregnancy spot, liver spot or commonly known as butterfly spot, mainly occurs on the cheeks of both cheeks, and the phenomenon of spotting under the eyes. 4. Cirrhosis: When patients suffer from cirrhosis, it may lead to impaired liver function, sex hormone disorders, etc., causing pigmentation in various parts of the body, such as the eyes, neck, chest and back, and the appearance of spots. Patients who have spots under the eyes should go to the dermatology department of regular hospitals in time to get a clear cause of the disease and then actively treat it.