The aim of this study was to describe the correlation between the meteorological and air pollution parameters with the temporal pattern of presentation of recent onset allergic eye disease (AED). This cross-sectional hospital-based study included new patients (≤21 years of age) presenting between January 2016 and August 2018 from the district of Hyderabad with a clinical diagnosis of AED and an acute exacerbation of recent onset of symptoms of less than 3 months duration. Correlation analysis was performed with the local environmental rainfall, temperature, humidity, windspeed, and air pollution. Of the 25,354 new patients hailing from the district of Hyderabad, 2494 (9.84%) patients were diagnosed with AED, of which 1062 (4.19%) patients had recent onset of symptoms. The mean monthly prevalence in this cohort was 4.13%, and the month of May (6.09%) showed the highest levels. The environmental parameters of humidity (r(2) = 0.83/p = < 0.0001) and rainfall (r(2) = 0.41/p = 0.0232) showed significant negative correlation, while temperature (r(2) = 0.43/p = 0.0206) and ground-level ozone (r(2) = 0.41/p = 0.0005) showed significant positive correlation with the temporal pattern of AED in the population. An increase in rainfall and humidity was associated with a lower prevalence, and an increase of temperature and ground-level ozone was associated with a higher prevalence of AED cases during the year among children and adolescents.