Introduction: Competency is an ability to perform a task fruitfully, confidently, and responsibly. At present, the UG curriculum is vast, and imparting skill is a challenge and rarely evaluated. Aims: To study the self-perception of confidence level pertaining to four core competencies in ophthalmology—recording visual acuity, pupillary response to light, extraocular movements, and confrontation fields and to study the self-perceived importance of these competencies. Materials and methods: Study involved students of 9th semester. A questionnaire was administered testing competencies regarding visual acuity testing, pupillary light reflex, confrontation fields, and extraocular movements. The responses were marked on the Likert scale. Results were expressed as percentages. Results: Confidence level for various competencies was 98.6%, 97.1%, 96.4%, and 85.7% for visual acuity, extraocular movements, pupillary light reflex, and confrontation fields, respectively. The self-perceived importance of these competencies was 95.7% for extraocular movements, 94.3% pupillary light reflex, visual acuity 92.1%, and 78.4% for confrontation testing. Conclusion: More than 98% of the students were confident in visual acuity testing, and it was the least for confrontation fields 78%. The self-perceived importance also showed almost similar results, 95.7% for extraocular movements and 78.4% for confrontation testing.