An adaptor for a slit lamp holds a portable camera, such as a cell phone, in place relative to a slit lamp. The adaptor is adjustable to accommodate virtually any size of portable camera through the use of screws, washers, spacers, and other adjustment mechanisms. The adaptor can be formed in two parts: an ocular engaging portion and a camera support. The two portions can be coupled together to position the camera relative to the slit lamp to photograph a patient's eye.