To provide a technology for managing pathological conditions with an ophthalmic examination apparatus installed in the patient's home. A patient management system of an embodiment includes a server, a plurality of ophthalmic examination apparatuses assigned to a plurality of patients, and a plurality of computers installed in a plurality of medical institutions. The ophthalmic examination apparatuses and computers are communicable with the server via a communication line. The server manages the account of each patient, and the account of each medical institution. Test data obtained by each of the ophthalmic examination apparatuses is stored in the account of a corresponding patient. The server sends information stored in the account of a patient to a computer installed in one of the medical institutions assigned in advance to the patient.