20 year old male extreme sharp pain a little above left eye ?

Office visit: A focused history and physical exam are in order. I've seen a rose thorn embedded from a forgotten childhood accident that did this; cluster headache can announce itself this way, and referred pain from an intracranial process would be the most feared entity.

Neuralgia : You may have a condition called supraorbital neuralgia.

Headache: May be due to many things including headaches, neuralgias, or infections. If it continues, you should seek medical care.