Diffuse Berlin nodules: unusual presentation of ocular sarcoidosis

etrist for a 3-month history of gradual blurry vision in the right eye. The optometrist reported abnormalities during slit-lamp examination in the right eye. The left eye was unaffected. The patient denied pain in either eye. The patient is overall healthy without any pertinent past medical or surgical history. On exam-ination, visual acuity was 20/40 in the affected eye and 20/25 in the left eye. General physical exam was otherwise unremarkable. Pupillary examination showed a mild afferent pupillary defect in the right eye. Schirmer I test was within normal limits with 15 mm in right eye and 14 mm in left eye. Intraocular pressure (IOP) was ele-vated to 34 mm Hg in the right eye while the left eye was normal with 16 mm Hg. Whitish nodules were observed against the peripheral cornea by slit-lamp examination (figure 1A, arrow). More nodules were visible in the anterior chambe