Small White Dot on the Eye: Is It a Growth or Stubborn Dirt? - Ophthalmology

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There is suddenly a very small white dot protruding on the sclera, but it is not on the pupil?


This afternoon, when I woke up and washed my face, I noticed a tiny dot on the surface of my eyeball, similar to a small dot made by a 0.1mm pen.
It is clearly attached to the surface of the eyeball, not on the pupil itself, but on the sclera.
However, it cannot be washed away with water.
I'm unsure if it's something that has grown on the surface of the eyeball or if it's just a piece of dust with a very strong adhesion.
I hope to get an answer! Thank you! ^__^

Tu Tu, 20~29 year old female. Ask Date: 2006/11/18

Dr. Cai Jingyao reply Ophthalmology


It sounds like a corneal foreign body or filamentous discharge.
If symptoms persist or if there is redness or blurred vision, please seek medical treatment.
Thank you.

Reply Date: 2006/11/18

More Info


When it comes to the appearance of a small white dot on the eye, particularly on the sclera (the white part of the eye), it can be concerning for many individuals. The first step in addressing this issue is to understand the potential causes of such a manifestation.

There are several possibilities for a small white dot on the eye. One common cause is a pinguecula, which is a benign growth that appears as a yellowish-white bump on the conjunctiva, the clear membrane covering the sclera. Pingueculae are often caused by prolonged exposure to UV light, dust, and wind, and they are more common in individuals who spend a lot of time outdoors. They typically do not cause any symptoms, but they can become irritated and red, especially in dry or windy conditions.

Another possibility is a pterygium, which is a growth of fleshy tissue that can extend from the conjunctiva onto the cornea. Like pingueculae, pterygia are associated with sun exposure and can cause discomfort or vision problems if they grow large enough.

If the white dot appears to be more like a foreign body, such as a stubborn piece of dirt or debris, it may be a result of environmental exposure. In this case, it is essential to avoid rubbing the eye, as this can cause further irritation or injury. Flushing the eye gently with saline solution or artificial tears may help dislodge the foreign material.

In some cases, a small white dot could also be a cyst or a calcium deposit. These can form on the surface of the eye and may require medical evaluation if they persist or cause discomfort.

It is crucial to note that while many of these conditions are benign, any new or unusual growth on the eye should be evaluated by an eye care professional. They can perform a thorough examination to determine the exact nature of the dot and recommend appropriate treatment if necessary.
If the dot is accompanied by symptoms such as redness, pain, vision changes, or discharge, it is even more critical to seek medical attention promptly, as these could be signs of an infection or other serious condition.

In summary, while a small white dot on the eye can be benign, it is essential to monitor the situation closely. If it does not resolve on its own or if you have any concerns, consulting with an ophthalmologist or optometrist is the best course of action. They can provide a definitive diagnosis and ensure that your eye health is maintained. Remember, taking care of your eyes is vital, and any changes should be taken seriously.

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