The appearance of white objects on the conjunctival surface, a condition most often seen in lid fissures, is a physiological phenomenon and is relatively common in the normal population. It is a white or grayish-yellow bulbar conjunctival nodule that is horizontally raised in a triangular or oval shape at the junction of the angular scleral margins of the lid fissure. This condition does not affect the eye in any way and usually does not require treatment. Local symptoms can be controlled with topical low-concentration glucocorticoid drops or nonsteroidal anti-inflammatory drugs, except in cases of lid fissures. In cases of severe or recurrent blepharospasm, surgical removal of the blepharospasm may be considered, in the same manner as pterygium, with autologous corneal limbal stem cell transplantation combined with blepharospasm excision.