Relief from Recurrent Allergic Conjunctivitis in a Child

Ten-year-old Master A.S complained of recurrent itching, redness, and sticky watery discharge from both eyes. These symptoms began 2-3 years ago and have recurred intermittently, with increasing frequency in the past year. Initially, the symptoms were mild but progressively worsened over time. The patient experienced eye irritation, and sticking of eyelids, and also experienced discharge from eyes, which was more severe during certain times of the day, particularly in the mornings, often requiring mechanical separation of eyelids upon waking. The symptoms were episodic, usually more pronounced in the evenings. He was diagnosed with Allergic Conjunctivitis. The concerned parents visited our Kemps Corner branch in July 2021 seeking long-term, relief for their complaints.

It was noted that the symptoms tended to worsen after consumption of certain foods, such as cashews, suggesting a potential food-related allergy component. The patient was prescribed Allergan antibiotic eye drops (Tobramycin + Fluorometholone) for flare-ups, typically used once a month for a week or more when symptoms were severe. Other medication, such as Chloromycetin Eye Ointment (antibiotic), was used in certain relapses.

The patient was also underweight with a diminished appetite, a marked craving for sweets, especially chocolate, and an aversion to meat. His mother was a homemaker, and his father was a businessman.

He was observed to be a shy, nervous, and reserved child, who would weep easily. He was also obstinate occasionally and forgetful according to his mother. There was a family history of Asthma.

Dr. Rajesh Shah studied the case in detail and evaluated his case history according to the homeopathic protocol he was prescribed.

BRYONIA ALBA 30.

Follow-ups:

Initially, from August 2021 to December 2021 the patient continued to experience mild to moderate symptoms including morning sticking of eyelids, itchy eyes, and watery discharge, with occasional worsening. The use of eye drops improved symptoms significantly, although flare-ups still occurred every 4-6 weeks.

He restarted treatment in November 2022. After a 6-7 month period of relative improvement with the initial treatment of 8 months, the patient experienced a relapse, with increased itching, redness, and watery discharge, and was restarted on the eye drops. After additional treatment, the patient reported a significant improvement in symptoms, and the frequency of eye drop use was reduced to once per week in March 2023.

In April 2023, the patient reported that symptoms had worsened again with increased redness and sticky discharge from both eyes. The patient resumed the use of eye drops and noted partial improvement.

However, with further treatment, the patient reported being much better with reduced discharge and less frequent flare-ups. Eye drop usage stopped for 10 days, indicating better symptom control.

 The patient's symptoms continued to improve, with fewer complaints of irritation. There was a marked reduction in discharge, and the patient showed increased stability.

In April 2024 the patient experienced a relapse after consuming cashews, leading to an increase in symptoms (itching, redness, and watery discharge). The use of antibiotic and anti-inflammatory eye drops and Chloromycetin Eye Ointment helped alleviate the symptoms and restarted treatment. Just after the first batch of medicines, patient-reported symptoms had significantly improved, and with continued treatment, the patient remained stable, and symptoms improved with no significant complaints. There was a return to a stable phase with no acute flare-ups.

 As of the latest follow-up, in November 2024, the patient is symptom-free with no complaints of conjunctivitis. There have been no recent flare-ups, and the patient is maintaining a stable condition.

He is still under our care.

Conclusion:

This case highlights that homeopathy is quite effective in treating chronic allergic conjunctivitis in children successfully and safely without any side effects. Allergen avoidance, including dietary triggers, plays a crucial role in preventing recurrence. Patients with recurrent allergic conjunctivitis may experience extended symptom-free periods with appropriate treatment, but flare-ups can still occur, particularly with exposure to allergens. Regular follow-up is important for adjusting treatment as necessary.

• Case study written by Dr.Nafisa D, Associate doctor to Dr.Rajesh Shah, MD (Hom)