FRCOphth Part 2 Written Neuro-ophthalmology
Neuro-ophthalmology unsettles many candidates, but it is highly learnable once the pathways are clear, and it carries a substantial share of FRCOphth Part 2 Written marks. This guide maps what to revise and how to drill it with exam-style questions and referenced explanations.
Last updated 21 July 2026
What neuro-ophthalmology covers in Part 2
Cover the afferent visual pathway and the localisation of field defects, optic nerve disease from optic neuritis to ischaemic and compressive causes, the pupil and its disorders, the ocular motor nerves and gaze palsies, nystagmus, and the neuro-ophthalmic features of systemic and intracranial disease. Localisation is the recurring theme.
How the questions tend to test it
Expect stems that give a pattern of signs and ask you to localise the lesion or choose the next investigation. Being fluent with visual field patterns, pupil reactions and the ocular motor nerves lets you convert these into reliable marks rather than guesses.
How to revise neuro-ophthalmology with a question bank
Drill localisation questions until the field and pupil patterns are automatic, then use the referenced explanation to confirm the anatomy and the AI tutor to talk through the trickier efferent scenarios. Little-and-often works well here, because the pathways reward repeated exposure.
Neuro-ophthalmology FAQ
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