Background: Allergic rhinoconjunctivitis (ARC) is an allergic
upper respiratory tract disease characterized by sneezing, runny nose,
nasal congestion and ocular and nasal itching due to inflammation of the
nasal and conjunctival mucosa. There are no studies evaluating both the
choroidal and retinal areas in ARC patients. Our objective was to
evaluate patients with ARC at the time of diagnosis and before
initiating treatment using Optical Coherence Tomography (OCT).
Methods: This prospective cross-sectional study included 30
patients with ARC who presented to the Pediatric Allergy & Immunology
Outpatient Clinic and 30 healthy control individuals. OCT scans were
captured with Cirrus HD OCT-5000 (Carl Zeiss, Jena, Germany) in the
enhanced depth imaging (EDI) mode. Results: Of the study
population, 66.7% (n=20) of patient group and 56.6% (n=17) of control
group were female. The mean age was 13±2.3 and 13.9±1.8 years in the
patient and control groups, respectively. The temporal subfoveal
choroidal thickness was statistically significantly thinner in ARC
patients with asthma (p=0.032). A robust negative correlation was found
between minimum ganglion cell-inner plexiform layer (GCIPL) thickness
and allergic eosinophil count (AEC) in patients with ARC (r: -0.551,
p<0.0001). Conclusion: In our study, the GCIPL
thickness was lower in ARC patients. Similarly, although it did not
reach statistical significance, the minimum GCIPL thickness was lower in
our patient group with asthma compared to those without asthma. Our
results suggest that multiple allergen sensitization and elevated
eosinophils may influence GCIP thickness. However, both choroidal and
retinal tissue might be impacted during chronic follow-up. Further
studies are needed to support these findings. Keymessage:
Multiple allergen sensitization and elevated eosinophil levels
contribute to GCIPL thickness in ARC patients.