A 15-year-old girl from a village near Pekan town was presented to the clinic accompanied by her parents. The girl had a 5-day history of tearing from her right eye associated with itching. She had visited another general practice (GP) clinic 2 days earlier where she was given some eye drops. None of her family members or contacts had conjunctivitis. There was no history of swelling, trauma, insect bite or dust in her eye. She had no cough, fever or other coryzal symptoms and there was no history of asthma or allergic rhinitis in the patient or her family members.