This document provides guidance on how to comment on a patient's ophthalmology complaint and examination findings. The complaint should include the main issue, side affected, onset, course, and duration. The examiner should gather information on past medical history, family history, and perform tests of visual acuity, pupil examination, lid inspection, anterior segment evaluation, lens examination, ocular motility, and record any abnormal findings. Visual acuity is assessed using techniques appropriate for level of vision, including finger counting, hand motion detection, light perception, and projection quality.