Nummular Keratitis: An Uncommon Manifestation of Ocular Sarc
A 20-year-old woman with biopsy-proven sarcoidosis presented with photophobia and blurred vision. Best-corrected visual acuities were 20/40 in her right eye and 20/25 in her left eye. Slit-lamp examination revealed bilateral stromal corneal infiltrates (Fig A, B) without anterior chamber cell. Her fundus examination was remarkable for inferior pars plans exudates of the right eye (Fig C) and ultrawide-field fluorescein angiography showed small vessel leakage and peripheral capillary nonperfusion (Fig D).

She was started on treatment with topical prednisolone acetate 1% with subsequent resolution of the stromal infiltrates. She was also treated with oral prednisone for worsening pulmonary and renal function demonstrated on further systemic evaluation and will be started on adalimumab for her multisystem sarcoidosis.