Optometry & Eye Examination OSCE Preparation
Use these suggested practice stations to rehearse observation and explanation. They are a preparation pathway, not an official examination, a certification or a substitute for your school’s marking criteria.
Station 1: pupil examination
- Establish the normal direct and consensual light responses.
- Switch to RAPD, perform the swinging flashlight comparison and describe both pupils.
- Explain how an afferent defect differs from anisocoria. Read the pupil guide before repeating the station.
Station 2: alignment and motility
- Observe the corneal light reflexes before moving to cover testing.
- Describe which eye moves and in which direction during cover–uncover and alternate cover testing.
- Compare a tropia with a phoria. Add gaze examination and explain how findings vary with gaze position.
Station 3: retinoscopy and lensometry
- Keep working distance consistent, describe reflex motion and neutralize both principal meridians.
- State how working distance affects the final retinoscopy result.
- In the lensometer, focus the target, record both readings and explain the cylinder and axis.
A repeatable self-review
- For each station, state the task, describe the observation and explain the mechanism.
- Write one error you made and what you will change on the next attempt.
- Use your course requirements for timing and marking. These activities do not create a validated OSCE score or certify clinical competence.
Start practising
- RAPD & Swinging Flashlight Test SimulatorPractise the swinging flashlight test and observe a relative afferent pupillary defect on a virtual patient. Compare right- and left-eye responses with the normal examination.Explore the simulator
- Cover Test SimulatorPractise cover–uncover and alternate cover testing on a virtual patient. Compare tropias and phorias, observe refixation and explore prism neutralization.Explore the simulator
- Hirschberg & Krimsky SimulatorStudy corneal light reflex displacement, compare simulated strabismus and angle kappa, and explore prism-based Krimsky testing in the eye exam simulator.Explore the simulator
- Retinoscopy SimulatorRead with and against motion, find the principal meridians and neutralize the reflex for myopia, hyperopia and astigmatism.Explore the simulator
- Lensometer SimulatorRead a finished spectacle lens on a manual lensometer: close the doubled American Cross mires on the power drum, find the axis on the unbroken thin line, take the cylinder as the difference of two readings, and watch Prentice's Rule put prism on the reticle rings.Explore the simulator