The Precision of the Conjunctival Provocation Test

Abstract
Repeated conjunctival provocation tests (CPT) were done in 20 children with rhinoconjunctivitis due to birch pollen allergy. Compared with the 1st open challenge, 3 successive blinded CPT were reproducible within an allergen strength difference of one 10-potency in 92% of the tests. Based on the data, a power function was constructed, making it possible to determine the number of patients needed to discriminate CPT sensitivity of a given magnitude between 2 populations. During the study period specific serum-IgE increased in 3 of 19 patients, indicating that stimulation of IgE antibody production is not a common consequence of repeated tests. Thus, CPT is useful in clinical research. When indicated in clinical routine, CPT is a safe and easy test with good precision.