Approach to the watery eye.

Background: Epiphora, or the watery eye, is a common presenting complaint seen by general practitioners and can have significant quality-of-life implications.

Objective: This article aims to review epiphora, its many causes and a systematic approach to its assessment, management and escalation in the primary care setting.

Discussion: Many causes of epiphora can be managed in the primary care setting. A clear and structured approach to work-up is essential in narrowing down the broad range of differential diagnoses, and might help clinicians recognise when involvement of the appropriate specialist service is required.