The COE written examination is delivered remote-proctored over two papers. You must pass both papers to progress to the clinical examination. Results are emailed within 6–8 weeks.
PART 1
Clinical Science (MCQs)
144
MCQs total
120
Scored (24 are pilot)
3 hrs
Sitting time
- Single best answer from 4 options labelled a, b, c, d
- Marks are awarded only for correct answers — no deductions for incorrect responses
- 24 non-scored pilot questions are used to calibrate new questions for future examinations and do not affect your result
- Assesses knowledge in biomedical, vision, optical, and clinical science
PART 2
Clinical Reasoning (SAQs)
18
Short answer questions
3 hrs
Sitting time
- Most questions have multiple parts addressing case histories and cases
- Cases may be accompanied by photographs of clinical conditions
- Candidates observe and identify pathological and other conditions of the eye and adnexae, binocular vision anomalies, and various clinical findings
- Examines diagnosis and management
If you fail one paper
On the first attempt, if you fail one paper you get one opportunity to retake the failed paper alone. Subsequent failures require retaking both papers. The application form (Form 2 or 3) is submitted once and is not resubmitted for resits.
Fees (AUD, 2025/2026)
Both papers$3,534
One paper (resit)$1,858
Fees are payable per attempt. There is no refund for failure. Always confirm current fees on the OCANZ website.
Practise the written exam
Source: OCANZ Examination Guide (2025) and Application and Examination Fees (ocanz.org). Verified April 2026.