A small white spot next to the eye is mainly seen as a fatty or granuloma pus head and a blepharospot. Small white dots on the patient’s eyelids are mostly considered to be fat grains or granuloma pustules. Most of the fat grains are caused by the individual’s oily body, long-term diet of greasy food, use of poor quality cosmetics, etc. The blockage of the glandular opening of the skin causes the accumulation of fat and the appearance of fat grains, which appear as white granules. Granuloma is mainly caused by purulent inflammation of the glands of the patient’s eyelids due to bacterial infection. With the development of the lesion, the patient’s eyelids may develop abscesses, and white pus heads may appear at the top of the abscesses, thus manifesting as white dots. If the patient’s conjunctiva appears white dots of elevated material, most of them are blepharoplakia, which is a degeneration of the bulbar conjunctiva, and this condition is mostly caused by prolonged ultraviolet irradiation or irritation such as wind and sand. The size of the small white dots may gradually become larger, and the patient may experience a foreign body sensation in the eye. It is recommended that patients with white spots and other discomforts should seek medical attention to evaluate their condition and follow the doctor’s instructions for treatment.