Caroline Hirons, a skincare guru, youtuber, and blogger (amongst other things) had terribly hooded eyes which just got worse and worse as she aged. Finally, her eye doctor told her that the bags were interfering with her eyesight and she needed to have them removed.
While in surgery, her doctor realized that part of the problem was that, in one eye, the tear duct SEPARATED from its cavity. He popped it back into place.
Anyway, she said that a week later when everything had finally healed, it was amazing to literally be able to see...she hadn't realized how much her line of sight was compromised by the baggy skin.