Virtual simulation is a powerful teaching method that has successfully been used by industries such as pilot training. The use of simulators to assist medical training was first attempted over 40 years ago. With the advancement of technology, better and more realistic patient simulators have evolved. In 1997, we developed an eye simulator to teach medical students basic neurological oculomotor concepts and exam techniques. Based on user feedback, an enhanced simulator evolved last year that added more accurate simulations, a pupillary reflex simulator, neuro-ophthalmology cases, and training demonstrations. This poster describes the development, successes and evolution of these virtual eye simulator applications. Images