A white bump next to the black eye with no other symptoms, such as redness or swelling, is most likely a blepharospasm. Lid fissure spots are generally thought to be caused by excessive UV exposure and are raised triangular-like patches that appear in the bulbar conjunctiva close to the edge of the cornea, with the base of the triangle facing the cornea. They are essentially asymptomatic, just cosmetically unpleasant, occasionally congested, becoming rough and inflamed. Generally this condition does not require treatment, and if there is inflammation, some weaker glucocorticoids or nonsteroidal anti-inflammatory drugs and eye drops can be given. If the effect on appearance is significant or if chronic inflammation occurs repeatedly and interferes with the wearing of some corneal contact lenses, removal may be considered. Some people consider this to be a preexisting manifestation of pterygium, which can become a pterygium if it continues to grow.