PURPOSE: To report conjunctival deposits as an initial manifestation of sar
coidosis.
METHODS: Case reports.
RESULTS: Two patients with bilateral bulbar conjunctival white deposits und
erwent conjunctival biopsy. The biopsy specimens showed noncaseating granul
omas with prominent Schaumann bodies. Serum angiotensin-converting enzyme l
evels were increased in both patients. The first patient had abnormal resul
ts of pulmonary function tests. Sarcoidosis was diagnosed in both patients,
CONCLUSIONS: Conjunctival deposits may represent the initial clinical manif
estation of sarcoidosis, (Am J Ophthalmol 1999;128:361-362. (C) 1999 by Els
evier Science Inc. All rights reserved.)