What’s that little black dot on the bead of a white eye?

Small black dots appearing on the beads of patients’ white eyes may be caused by conjunctival pigmented nevus, hyperpigmentation, conjunctival foreign body and other factors.
1. Conjunctival pigmented nevus: Conjunctival pigmented nevus is a congenital benign tumor lesion, which can occur at the conjunctiva, appearing as a black irregular rounded bulge, so the patient’s white eyeballs can appear as small black dots.
2. Hyperpigmentation: due to age and light and other factors, it can lead to melanization of conjunctival tissues, which will lead to the manifestation of small black dots in the white eyeballs.
3. Conjunctival foreign body: if the patient’s conjunctival tissue appears external foreign body, such as wood chips, coal chips, iron chips, etc., because the foreign body adheres to the surface of the eye or eyelid, so the patient can appear in the white eyeball with small black spots, also can be accompanied by foreign body sensation and other symptoms of discomfort in the eye.
It is recommended that patients with black spots on the white eyeballs and other discomforts should consult a doctor promptly to evaluate their condition and follow the doctor’s instructions for treatment.