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.
One of the biggest reasons people get bags under their eyes is because their parents have them. It's in your genes, and -- aside from plastic surgery -- there's not much that can be done about it. When you're young, lack of sleep, lack of exercise, a diet full of salty foods and water retention can also lead to bags. Sinus infections can cause them as well, by constantly stretching the skin beneath your eyes. If you notice that you have bags under your eyes early in the morning but they're generally gone by noon, it probably means they're being caused by fluid retention.