It is a duty of an ophthalmologist to do a complete ophthalmic examination. However, these days a due to recent advances in internet most f the patients are already aware of the problems. Due to internet facilities so it makes the job of an ophthalmologist challenging. Say, I get a patient age more than 40 years. First, take the history of d n hypertension or any other medical problem family history of medical problems and ocular disorders.

If a history of any eye operations or any eye trauma use of glasses either for DV or n vision assessment of vision both with or without glasses take reading on a refractor, do slit lamp examination do cover and uncover test do refraction. If the patient improves further with the present correction prescribe glasses. If the patient is diabetic or hypertensive dilate and do fundus examination. We should not directly go to oct or FFA or be scan…