Developing neuro-ophthalmological exam skills is crucial for accurate diagnosis and avoiding potential pitfalls in many urgent, vision- and life-threatening conditions. However, neurology residents often receive limited formal training in this subspecialty. Simulation-based training (SBT) has proven to be an effective method for improving clinical skills by offering a controlled, feedback-rich environment. Here, we present pretest and posttest results from a cohort of neurology residents over the past year, demonstrating the positive impact of SIM neuro-ophthalmology exam workshops on their performance.