Title: A Cross Sectional Study of the Prevalence of Allergic Conjunctivitis in Allergic Rhinitis

Authors: Dr D Elango DLO, DNB (ENT), Dr V.M Hemlata Katiyar M.S (ENT), Dr Ramya Chelliah M.S (OPH), Dr Vincent Prasanna M.S (ENT), Dr Malathi VK M.S (OPH)

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i1.130

Abstract

Allergic rhinitis (AR) is common condition affecting 20-30% of the population. This condition affects not only the nose but also the sinuses, ear and eyes in many ways. Though Allergic conjunctivitis (AC) is highly prevalent in patients with AR, it is under reported, under diagnosed and under treated condition because most patients (40% according to a study) felt these symptoms as normal and hence did not report. Not many studies can be found in the literature on the prevalence of allergic conjunctivitis in allergic rhinitis.

Aim: The aim of the study is to calculate the prevalence of AC in patients with AR and to study the impact of the duration and severity of AR on the prevalence of AC.

Materials and Methods: This is a cross sectional study including 167 patients attending the ENT OPD of this institute diagnosed as having AR. Patients were grouped based on the presence or absence of allergic conjunctivitis and the impact of the duration and severity of AR on the prevalence of AC analyzed. Statistical analysis of the results were done using Mann Whitney U test (SPSS ver15).

Results and Conclusion: The prevalence rate of AC in patients with AR was found to be 59.88%. Statistical analysis showed no statistically significant impact of the duration of AR on the presence of AC (p > 0.05).However there is significant correlation between the severity of AR and prevalence of AC (p < 0.05 ). It is suggested that all patients with AR should be evaluated for AC and treatment instituted in time.

Keywords: Allergic rhinitis, Allergic conjunctivitis, Symptom score, Intra nasal steroids, Cobble stone appearance, Polyps

References

1.      Pitt AD, Smith AF, Lindsell L, et al.: Economic and quality-of life impact of seasonal allergic conjunctivitis in Oxfords-hire. Ophthalmic Epidemiol 2004, 11:17-33. PubMed Abstract | Publisher Full Text

2.      Rosario, Nelsona; Bielory, Leonardb,c Epidemiology of allergic conjunctivitis. Eye allergy: Edited by Leonard Bielory and Stefano Bonini. doi: 10.1097/ ACI.0b013e32834a9676

3.      Alrasyid H, McManus A, Mallon D, Nicholson C: Elevated body mass index is associated with severity of allergic rhinitis: results from a cross sectional study. Australas Med J 2008, 2

4.      Ono SJ, Abelson MB: Allergic conjunctivitis: update on pathophysiology and prospects for future treatment. J Allergy Clin Immunol 2005, 115:118-122.

5.      Blaiss MS: Allergic rhinoconjunctivitis: burden of disease. Allergy Asthma Proc 2007, 28:393-397. OpenURL

6.      Williams DC, Edney G, Maiden B, Smith PK. Recognition of allergic conjunctivitis in patients with allergic rhinitis. The World Allergy Organization Journal. 2013; 6(1):4. doi:10.1186/1939-4551-6-4.

7.      Bielory, L. Curr Allergy Asthma Rep (2010) 10: 122. doi:10.1007/s11882-010-0087-1      

8.      De Wester, Jeffrey; Philpot, Edward E;  Westlund, Ronald E.; Cook, Cindy K.; R ickard, Kathleen A. The efficacy of  intranasal fluticasone propionate in the relief of ocular symptoms associated  with seasonal allergic rhinitis. Allergy Asthma Proc 2003; 24:331–7.

9.      Katiyar VMH, Elango D, Prasanna V. Observational study of Tympanic membrane changes in Allergic Rhinitis. Int J Res Med Sci 2016;4:3977-81

10.  Geraldini M, Neto HJ, Riedi CA, Rosário NA. Epidemiology of ocular allergy and co-morbidities in adolescents. J Pediatr (Rio J). 2013;89:354---60.

11. Origlieri C1, Bielory L.Intranasal cortico-steroids and allergic rhinoconjunctivitis. Curr Opin Allergy Clin Immunol. 2008 Oct;8(5):450-6.

Corresponding Author

Dr V M Hemlata Katiyar

P185/4, Officers’ Enclave, Air Force Station

Tambaram, Chennai – 600046

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Ph: 9444124853