1- Introduce yourself
2- Take verbal consent
3- Explain to the patient appropriately
4- Ask for ambient room light
5- Use an appropriate distant fixation target
6- Arrange appropriate lens with RE-COSS dial
7- Perform distant direct ophthalmoscopy at 9 inches/23cm
8- Use your right eye for patient’s right eye
9- Use your left eye for patient’s left eye
10 Use RE-KOSS dial for correct lens position
11 Ask patient to look into the light for macula
12 Make appropriate movement to search possible periphery in all quadrants
13 Use red free light for vessels (seen as dark lines)
14 Uses visuoscope for fixation
15 Pay thanks to patient
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