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GEM - Curriculum Statement 15.5 Eye Problems

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Knowledge Base for the nMRCGP

Curriculum Statement 15.5 Eye Problems

Symptoms: Key issues in the diagnosis of eye problems will be eliciting appropriate signs and symptoms, and subsequent investigation, treatment and/or referral of persons presenting with:

Disorders of the lids and lacrimal drainage apparatus:

External eye disease: sclera, cornea and anterior uvea:

Disorders of refraction:

Disorders of aqueous drainage:

Vitreo-retinal disorders:

Disorders of the optic disc and visual pathways:

Eye movement disorders and problems of amblyopic binocularity:


  • Undertake an examination of the eye assessing both structure and function
  • Understand the appropriate investigations to exclude systemic disease, e.g. erythrocyte sedimentation rate (ESR) test for temporal arteritis, chest X-ray for sarcoidosis, etc
  • Know the secondary care investigations and treatment including slit lamp, eye pressure measurement


  • Understand and be able to explain to the patient about the use of medications including mydriatics, topical anaesthetics, corticosteroids, antibiotics, glaucoma agents
  • Removal of superficial foreign bodies from the eye

Emergency care: Ability to recognise and institute primary management of ophthalmic emergencies and refer appropriately:

Prevention: This will involve the following risk factors:

  • Genetics – family history
  • Co-morbidities especially diabetes and hypertension.

GEM - eye problems including red eye and flahses and floaters

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