ICO Optics & Refraction
3,000 MCQs on optics, refraction, and instruments—the focused 60-question paper where lens arithmetic and clinical optics really matter. Built with practising ophthalmologists.

Part B is Optics, Refraction and Instruments—60 MCQs in 90 minutes, sat once you have passed Visual Sciences (or an ICO-recognised equivalent). It is narrower than Part A but technically demanding: candidates often stumble on refraction maths, lens combinations, and instrument optics rather than lack of clinical experience.
Use this bank to drill the optics syllabus directly—3,000 questions with rationales that show the working, so you are not guessing on exam day.
Optics and refraction practice aimed at Part B—not a general question mix diluted across other exams.
Geometric and clinical optics, ametropia, refraction technique, spectacles, contact lenses, and low vision
Part B is only 60 MCQs in 90 minutes—every stem counts, and optics detail catches people out
Lens formulae, sign conventions, and refraction pitfalls explained step by step—not just the right option
Keratometry, OCT, autorefractors, and the kit you need to recognise for the instruments section of the syllabus
For trainees who have cleared Visual Sciences and now need dedicated optics and refraction practice
Analytics highlight where you are losing marks—spherical equivalent, prisms, or instrument optics, for example
Four-option single-best-answer MCQs, 90 minutes, no penalty for wrong answers. You must pass Part B (with Part A) before booking Part C. The paper draws on the ICO optics and refraction syllabus—clinical optics, corrective lenses, low vision, and the ophthalmic instruments you use and interpret in clinic—not subspecialty management scenarios.