PURPOSE: To report conjunctival deposits as an initial manifestation of sarcoidosis. METHODS: Case reports. RESULTS: Two patients with bilateral bulbar conjunctival white deposits underwent conjunctival biopsy. The biopsy specimens showed noncaseating granulomas with prominent Schaumann bodies. Serum angiotensin-converting enzyme levels were increased in both patients. The first patient had abnormal results of pulmonary function tests. Sarcoidosis was diagnosed in both patients, CONCLUSIONS: Conjunctival deposits may represent the initial clinical manifestation of sarcoidosis, (Am J Ophthalmol 1999;128:361-362. (C) 1999 by Elsevier Science Inc. All rights reserved.)