ocular allergy represents the most common condition encountered by ophthalmologists. Allergic conjunctivitis is often under diagnosed and undertreated. An understanding of the immunologic mechanisms, clinical features, differential diagnosis and treatment of ocular allergy may be useful to all who deal with these patients. Here, I am briefing the presenting features of allergic conjunctivitis, dermatological manifestations of atopic dermatitis in atopic conjunctivitis patients and few follow ups showing marked improvement with treatment.