Dry eye is a common disease, affecting approximately 5–30% of those aged 50 years and older (DEWS 2007b). The wide prevalence range is due to different definitions of dry eye and the profile of population surveyed. Given the frequency of this clinical presentation, it is vital that optometrists understand their role in the diagnosis and management of this condition. This article focuses on how an optometrist can manage many of these patients and discusses the alternative treatment options available from an independent prescribing (IP) optometrist or ophthalmologist.