INVESTIGATION & MANAGEMENT OF EYE DISEASE IN PRIMARY CARE: INFECTION, INFLAMMATION AND IMMUNE RESPONSE

• Part 1 Main Chapters
1 How to Assess and Examine the Eye for Disease
2 Clinical Pearls for Diagnosis—Signs and Symptoms
3 Sight-Threatening Conditions in Primary Care—Clinical Presentation and Management
4 Dry Eye Disease (DED) and Inflammatory Conditions
5 Uveitis (Inflammatory, Autoimmune Disease or Infectious)
6 Diagnosis and Treatment of Ocular Infection
7 Tropical Public Health and Global Eye Care
8 Epidemiological Surveys and Basic Statistics—Pitfalls and Solutions
9 Refractive Error, Myopia Control and Contact Lenses
10 Pathogenesis of Infection and the Ocular Immune Response
• Part 2 Supplementary Chapters
S1 Equipment Needed for Domiciliary and Clinic Visits
S2 Common Scotomas Involving the Optic Nerve and Tract
S3 Presentation of Common Ocular Conditions
S4 Application of Tear Osmolarity for a DED Grading Scheme. Conjunctival Scarring Disorders—Pemphigoid, Stevens-Johnson Syndrome, Rosacea, Practolol Toxicity
S5 Secondary Uveitis
S6 Infections
S7 Tropical and Global Eye Conditions
S8 Assessment of Risk Exposure between Diseased and Non-Diseased Controls
S9 Peripapillary Atrophy Myopic Crescent
S10 Localised Immune Complex Disease, Immune Deposition in the Cornea, Mucosal-Associated Lymphoid Tissue
S11 Pharmacokinetics and Pharmacodynamics
• Part 3 Appendices
1 Drug Prescribing and Formularies
2 Infection Control in Clinical Settings
3 Detailed Diagram of Immunity against Infection in the Cornea
4 Classic and Alternative Complement Pathways
5(S): Corneal Scrape and Laboratory Testing (https://bnf.nice.org.uk)
6(S): Formulary of Drugs for Ocular Use in Specialist Care (https://bnf.nice.org.uk)

This handbook offers concise, evidence-based guidance for clinicians who diagnose and manage ocular disease outside tertiary centres. Written for general practitioners, optometrists, ophthalmic nurses and primary care eye professionals, it translates core science into practical steps for assessment, urgent decision making and initial therapy.
The book covers common sight-threatening conditions, including glaucoma, age-related macular degeneration, diabetic and hypertensive retinopathies, uveitis, cataracts and inflammatory and immune-mediated eye disease. It provides clear, illustrated pathways for history taking, focused examination and red-flag recognition, with pragmatic advice on when to treat, when to refer and how to arrange safe follow-up.

Key Practical Features
• Clinical diagnostic aids and annotated images to support decision making
• Management algorithms and treatment pearls for emergencies and routine care
• Practical procedures such as corneal scraping, microscopy and basic microbiology with guidance on appropriate antimicrobial therapy
• Therapeutic rationale covering ocular pharmacology, prescribing considerations and when to use immunomodulatory agents
• Public health and tropical perspectives on ocular infections, epidemiology and prevention of cross-infection in practice

This book bridges the gap between specialist ophthalmology texts and everyday primary care needs, equipping clinicians with the knowledge to protect vision, reduce avoidable harm and coordinate care effectively within diverse global health settings.