This article discusses the assessment and management of epiphora in the primary care setting.

Some pre-existing eye conditions, such as diabetic retinopathy, can be exacerbated during pregnancy, while other conditions manifest for the first time.

Caution needs to be observed during the COVID-19 pandemic if a patient’s symptoms align with a viral conjunctivitis.

The advice and decision of the general practitioner at the initial presentation of microbial keratitis is crucial for optimal management, with urgent referral potentially sight-saving for the patient.

Significant morbidity can follow corneal ulceration, with complications including corneal scarring and/or perforation, glaucoma, cataract and loss of vision.

Ocular trauma may result in pathology of the ocular surface and adnexa, extraocular muscles, orbital walls, eye and optic nerve.

A man aged 30 years presented to the general practitioner with a history of moderate pain and eyeball protrusion in his right eye immediately after being in handstand position.

A girl aged eight months was brought to see her family’s general practitioner with a four-month history of persistent bilateral epiphora and light sensitivity.

Dry eye disease is often underappreciated and underdiagnosed due to the vague nature of the symptoms.

Over the past 10 years significant improvements in technology underlying ophthalmic diagnosis and treatment have led to marked improvements in visual outcomes for patients.

The aim of this article is to provide a guide to clarifying complaints of visual distortions, outlining the common ocular causes, with a focus on macular pathologies.

Visual problems commonly reported after concussion can be diagnosed with office-based assessment; with appropriate rehabilitation, the disruption to daily activities can be minimised.

Early diagnosis of superior oblique palsy in general practice can improve visual acuity and prevent complications including torticollis.

Although most eyelid lumps are benign, accurate diagnosis and early recognition of sinister lesions leads to improved patient outcomes.

Local anaesthetic eye drops have recently been advocated as a safe analgesic following eye injuries, but the evidence is limited and the risks are significant.