
Introduction
Dark circles are one of the most common cosmetic concerns worldwide. For decades, they were seen only as aesthetic: lack of sleep, thin skin, genetics. The reality, however, is more complex.
They have a dual nature:
- Aesthetic (thin skin, pigmentation, fat loss).
- Pathological (inflammation, poor circulation, ocular fatigue).
Dermophthalmology highlights this second side, proving that dark circles are also a marker of ocular health.
Historical Perspective


Why Do Dark Circles Appear with Age?
- Reduced microcirculation → shadows.
- Thinner skin & collagen loss → visible veins.
- Loss of elasticity → hollow eyes.
- Presbyopia → ciliary fatigue, tired gaze.
- Dry eye & blepharitis → inflammation, dull appearance.
In ancient Greece, Hippocrates called the gaze a “mirror of health.” Yet for centuries medicine saw circles only superficially. Today, Dermophthalmology reveals their pathological dimension: inflammation and fatigue.
Today, with Dermo-Ophthalmology, we recognize that there is also a pathological basis that may not be given the appropriate weight: the circles indicate inflammation and eye fatigue.

The Double Nature of Dark Circles
Aesthetic
50% of women 35–60 have tried:
- Concealers / creams.
- Fillers (hyaluronic).
- Laser therapies.
- PRP / mesotherapy.
Useful, but external only – not treating root causes.
Pathological side :
- Αλλεργική ρινίτιδα/επιπεφυκίτιδα → allergic shiners (40% των παιδιών).
- Blepharitis & Demodex.
- Dry eye disease.
- Glaucoma drugs (PGAs).
- Thyroid disease.

Epidemiology
- 40% of allergic children develop circles.
- 50% of women 35–60 tried aesthetic solutions.
- 70% of adults >45 report worsening with age.
- Few know the ocular origin.

Dermophthalmology as the Solution
Massage & Heating
- Ophthalmogen Gel → massage, improved microcirculation, reduction of dark circles.
- EYE10 thermotherapy → decongestion of meibomian glands.
Spray
- Ophthalmogen Spray → vitamins & natural extracts, instant hydration.
Ocular Surface Hydration
- Visionlux Plus → hydration + B12.
- Thealoz DUO → hydration with antioxidant protection from trehalose.
- NaviNaCl 5% → hypertonic tears for anti-edema effect.
- Tears Naturalle, Refresh, Vidilac → classic artificial tears.
Supplements
- ALLVITA EYES → Omega-3, lutein, zeaxanthin.
Aesthetic Complement
- DermaLife520 masks → hydrogel for decongestion.
Case Studies
- Woman 48: Presbyopia + circles → Ophthalmogen Gel + Allvita Eyes → brighter eyes.
- Man 55: Screens + dry eye → EYE10 + Spray → relief & fresher look.
Psychological Impact
Dark circles make people look older, tired, distant. Eye care boosts self-image, confidence, relationships.



Conclusion
Dark circles after 40 are not only cosmetic but a sign of ocular fatigue & inflammation.
With Dermo-Ophthalmology and tools such as Ophthalmogen, Allvita Eyes & DermaLife 520, we can unite health & appearance.
Dermophthalmology is the new medical specialty we have introduced (learn more at www.dermophthalmology.com)