The invention discloses a low-illumination focusable indirect ophthalmoscope, and belongs to the field of indirect ophthalmoscopes, the low-illumination focusable indirect ophthalmoscope comprises an illumination system and a microscopic system, the illumination system is located on one side of the microscopic system, the illumination system is used for projecting light spots to an observed object, the microscope system is used for observing the observed object, the illumination system is configured to be a weak light source illumination system, the microscope system comprises an objective lens, an eyepiece unit and an image intensifier, the eyepiece unit comprises a focusing eyepiece, and the image intensifier is located in front of or behind the focusing eyepiece. According to the low-illumination focus-adjustable indirect ophthalmoscope, a low-illumination weak light source illumination system can be used, the defect that an examinee feels uncomfortable due to the fact that incident light is too strong in the prior art is fundamentally overcome, digital images can be collected in real time, teaching and computer graphic analysis are facilitated, in addition, the indirect ophthalmoscope further supports continuous zooming, and adjustment of magnification times is more flexible.