IGHE and atopic conjunctivitis: The diagnosis of allergic conjunctivitis at this center was similar to other eye centers in African countries, i.e. by meticulous questioning, emphasizing on the existence of ocular itching and looking for tarsal papillae, follicles and conjunctival pigmentation.16 We lacked facilities for specific IgE and skin tests as recommended in other studies.9,13 There were other ocular conditions coexisting with allergic conjunctivitis; refractive errors were found to be the most common.