There are several causes of pain in the cheeks below the eyes as follows: a. The most common cause is trigeminal neuralgia, which is an unbearable, knife-like pain. When clinical symptoms appear at this time, unbearable pain such as a knife-like feeling or electric cutting pain, you need to go to the hospital immediately. Second, facial neuritis can also occur two pains under the eyes, at this time for the cheeks below the eyes, asymmetric pain on both sides, accompanied by eyelid downward or crooked corners of the mouth, etc., at this time need to go to the hospital and parallel symptomatic treatment. Third, common viral infections can also present with clinical symptoms of pain in the cheeks below the eyes. Fourth, rare diseases, such as periodontitis and gingivitis, will also appear the above clinical manifestations.