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Certified Retinal Angiographer (CRA) Examination
Find the current format, timing, scoring, fees, eligibility, and testing options for CRA, with direct links to official sources.
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Questions175 multiple-choice questions (four answer choices each, one correct)
Testing time2 hours
ScoringCriterion-referenced minimum-competency exam: passing standard (cut score) set by Modified Angoff V standard setting with a panel of CRA subject-matter experts; the raw passing score is translated onto a scaled reporting score. Passing candidates receive only notice of successful performance (no numeric score); failing candidates receive a numeric scaled score plus a diagnostic report of content-area weaknesses
Exam feeUSD 465 OPS member / USD 590 non-OPS member (includes optional 1-year OPS membership); retesting fee USD 285; the fee includes a USD 50 non-refundable application fee and one exam administration; all fees in U.S. dollars
Prep options
Study resources for CRA
Independent prep
Courses and study resources
Exam overview
What to know before choosing your prep
- Who runs it
- OPS
- Category
- Eye Care Technology
- Current version
- CRA Program Guide v15b, effective February 13, 2026 (the current edition linked on opsweb.org is v15.1, which was not directly accessible)
- Where it applies
- Global
- Exam languages
- English
- Score scale
- Scaled reporting score (raw passing score translated onto a scaled score); numeric scaled scores are reported only to failing candidates
- Testing provider
- ISO Quality Testing (the CRA administration contractor operating the approved test sites)
- Format
- Computer-based, closed-book examination at OPS/BOC-approved testing centers (scratch paper and pencil provided and collected)
- Availability
- Year-round by appointment at 250+ test sites in the U.S., Puerto Rico, U.S. territories, Canada, and various sites outside North America; most sites open Monday-Saturday 9:00 a.m.-9:00 p.m. and Sundays 1:00 p.m.-6:00 p.m.; one year to complete the exam once the scheduling email is received
- Results
- Preliminary printed score report issued at the test site upon completion, provisional pending statistical verification within 72 hours; official scores sent via USPS from BOC representatives from OPS headquarters
- Credential validity
- Certification maintained by recertification at three-year intervals, requiring 15 hours of continuing education credit (15 CECs) per interval
- Remote testing
- Not available
Exam structure
One closed-book, computer-based multiple-choice examination of 175 four-option questions; certification additionally requires an approved photographic portfolio (color fundus and fluorescein angiography images), verified employment as a retinal angiographer for a minimum of 2 years (formal education or professional certification may substitute up to 1 year), and a current CPR certificate
Where rules vary
An international professional-society certification with no geographic eligibility restriction: the BOC 'shall admit applicants of any age, sex or sexual orientation, race, religion, color, national origin, disability or marital status', and the examination is delivered at test sites in the U.S., Puerto Rico, U.S. territories, Canada, and various sites outside North America.
Eligibility
Approved portfolio; employment as a retinal angiographer for a minimum of 2 years (documented formal education or professional certification may substitute up to 1 year, via the Provisional CRA path); current CPR certificate; application and examination application approved before scheduling
Retake policy
Retesting fee of USD 285 for a subsequent administration; candidates have one year from the scheduling email to complete the examination