A multifunctional medical optical examination instrument including a hand-holdable portion, at least an optical examination head portion mountable on the hand-holdable portion and including at least optical examination and non-digitized viewing optics and image digitization, storage and transmission circuitry included in at least one of the hand-holdable portion and the at least optical examination head portion, the image digitization, storage and transmission circuitry being arranged to receive an image from at least a portion of the at least optical examination and non-digitized viewing optics.