A Parent's Guide to Psychoeducational Evaluations. The goal of a psychoeducational evaluation is to enhance a childâs ability to be as successful as possible. As parents, we strive to help our children as much as possible. Despite our best efforts, however, we may see them struggling in some areas.
Conditions like fluid imbalance or local swelling that lead to puffy or swollen eyelids can cause shadows that make the area under the eyes appear darker. Trauma (a  black eye ) can cause darkening of the entire eye area. Some people notice that dark circles under the eyes tend to run in families, as well. In most cases, dark circles under the eyes are not a sign of a serious medical condition.
Puffiness of or Bags Under Eyes is a structural problem caused by excess or herniation of eyelid fat bulging against the eyelid skin. This fat must be repositioned and or removed to remove the puffiness or bag. Do not believe ads that say a cream or laser treatment will remove puffiness or eye bags-they will not.