Optuitions is proud to offer an online refraction course, targeted primarily to the refraction certificate examination of the Royal College of Ophthalmologists. The course comprises a mixture of text-based videos and videos to demonstrate practical application of objective and subjective refraction. Together, the videos will teach you how to perform:

  • subjective refraction (including cylinder refinement, sphere refinement, binocular balance and near addition determination)
  • retinoscopy (cycloplegic and non-cycloplegic)
  • lens neutralisation with and without a focimeter

The course is station-orientated, helping you to familiarise and prepare for the actual stations that you will encounter in the exam. The videos are full of practical tips and guidance, to help you achieve accuracy and success within the time limits of each station!

The course can be purchased in full, which includes 17 videos in total, each being 7-18 minutes in length, to cover all aspects of the refraction certificate examination, or for convenience we have packaged each of the stations into smaller groups that you may wish to purchase for only certain aspects. If, for example, you are sitting the refraction examinations in Ireland or Scotland, where the structure is different, you may wish to purchase the elements that are relevant to your exam.


Package 1

  • Visual Acuity, Pinhole, Pupil Distance, Trial Frame Fitting, and Back Vertex Distance (text-based video)
  • Cylinder refinement (practical video with accompanying text-based video)
  • Retinoscopy: non-cycloplegic and cycloplegic retinoscopy (text-based video with animations)



Package 2

  • Sphere refinement (practical video with accompanying text-based video)
  • Binocular balance including duochrome, +1.00D blur test and Humphriss method (practical videos with accompanying text-based video)
  • Near Addition (practical video with accompanying text-based video)



Package 3

  • Lens neutralisation – manual focimetry (text-based video)
  • Lens neutralisation without a focimeter (practical video with accompanying text-based video)


Prices start at just £75.00 per week for a single package, with a 20% discount applied if two packages are purchased, and a 30% discount applied if all three packages are purchased. If an online course is purchased at the same time as or after booking an in-person course, then a further 30% discount on the online course price will be applied.


All online courses are available for a time-limited period through our website. The content is fully accessible through computers, laptops, tablets and smartphones, including compatibility with Windows, Android and iOS (Apple) operating systems.

Your access to the course materials is subject to registration of an account on our website, payment of the course fee(s), agreement to our User Service Agreement, which is available upon request, and granting of access keys to the content thereafter.

If you have any queries or would like to purchase an online course, please contact us!


For a snippet of what’s on offer, why not watch the short teaser video below:

Soundtrack Attribution:

Music: “Bathed in Fine Dust” by Andy G. Cohen
Released & modified (extended by repetition) under a Creative Commons Attribution International 4.0 License; click here for more info: (CC-BY)
Sourced from freemusicarchive.org