Problem to be solved: to provide an ophthalmological observation apparatus and its operation method which greatly improved operability.An illumination optical system for entering light into an eye to be examined, an image output optical system for emitting an image, an emergent light emitted from an eye to be examined according to the incidence of light from an illumination optical system, and an image emitted by an image output optical system, respectively, to an eyepiece In the observation optical system to be guided, the illumination optical system, the image output optical system, and the observation optical system, at least an operation instruction for an object to be operated including an image output optical system and an operation instruction detecting part 65 for detecting an operation instruction emitted from the operators mouth, and FingerThe control section is provided with a control section for controlling an object of operation based on the operation instruction detected by the indicator.Diagram【課題】操作性を著しく向上させた眼科用観察装置及びその作動方法を提供する。【解決手段】被検眼に光を入射する照明光学系と、画像を出射する画像出射光学系と、照明光学系からの光の入射に応じて被検眼から出射した出射光と、画像出射光学系により出射された画像とをそれぞれ接眼レンズまで導く観察光学系と、照明光学系、画像出射光学系、及び観察光学系の中で少なくとも画像出射光学系を含む操作対象に対する操作指示であって且つ操作者の口から発せられる操作指示を検出する操作指示検出部65と、操作指示検出部で検出した操作指示に基づき、操作対象の制御を行う制御部と、を備える。【選択図】図3