A ophthalmic fixation apparatus includes a case housing with an interior area to hold a power source, the case housing further having a switch to activate a first fixation element and a second fixation element; one or more straps extending from the case housing; a first flexible conduit extending from the case housing and to facilitate direction of the first fixation element; and a second flexible conduit extending from the case housing and to facilitate direction of the second fixation element; the ophthalmic apparatus is for use during an eye exam to keep the patient's attention and maintain a still eye for examination.