The perceived appearance of intoxication or altered consciousness in the eyes, despite the absence of substance use, can stem from several underlying factors. These factors range from temporary physiological conditions to more persistent anatomical traits. For instance, pronounced lower eyelid laxity or ptosis (drooping eyelids) can alter the shape and visibility of the sclera (the white part of the eye), giving the impression of a “high” or glazed look. Furthermore, periorbital puffiness, often caused by allergies, fluid retention, or lack of sleep, can also contribute to this appearance.
Addressing this concern is important for individuals whose professional or social lives might be negatively impacted by such misinterpretations. The ability to accurately identify the cause allows for appropriate remedial action, ranging from lifestyle adjustments like improved sleep hygiene and allergy management to medical interventions such as blepharoplasty (eyelid surgery). Understanding the potential underlying reasons can alleviate anxiety associated with the unwanted perception of being under the influence.