Yellow spots in the white of the eye are usually caused by two factors: the first factor, caused by birth, is similar to birthmarks, which cause yellow spots in the white of the eye, mainly pigmentation. The second factor is hyperpigmentation caused by inflammation, ultraviolet light, and sand stimulation. Of course, regardless of whether it is congenital or acquired, most of them are caused by hyperpigmentation. It mainly affects aesthetics and does not affect function or vision, is not painful or itchy, and usually does not have harsh consequences. The clinical ones are mainly observation-based, but if you want to improve the aesthetics, you can also undergo surgical treatment.