Background: Allergic conjunctivitis and dry eye disease are major ocular surface disorders affectingmillions of people interfering with their quality of life. These diseases can occur simultaneously or independently of each other. The symptoms are non-specific of any type of ocular disease. Methods: This Study was carried out in SKMCH, Muzaffarpur. Study duration of Fifteen months. on the subjects who attended the outpatient department of Ophthalmology. This was an observational study of 100 cases of allergic conjunctival disease after informed consent which satisfied the inclusion and exclusion criteria. Based on novel scoring system (NSS), the severity of allergic conjunctival disease was graded as mild, moderate and severe. Conclusion: We conclude that for the effective management of allergic conjunctivitis, we should always consider treatment of dry eye as well.