There are several causes of orbital pain in the eyes: 1. The most common is acute glaucoma, a disease that causes visual impairment due to pathologically elevated intraocular pressure, which can present with eye pain, ipsilateral periorbital and head pain, and sudden vision loss, requiring IOP-lowering and nerve-nourishing treatment. 2. Iriditis and sclerositis, which can present with eye pain, congestion, and orbital pain. 3. Orbital inflammation, orbital cellulitis, orbital pseudotumor, thyroid Related eye diseases, etc. can present orbital pain. 4. ocular trauma, especially when the orbital bone is fractured, pain around the orbit is obvious. 5. visual fatigue, can present eye bleeding, eye distension, periorbital pain. 6. neuropathic eye pain, due to poor rest or cold, sinusitis, etc. can present eye pain, orbital pain. 7. refractive eye pain, due to refractive error without glasses, can present refractive eye pain. .