There is minimal information on the subsequent effect of telemedicine activities on eye care resources. Chasan and colleagues retrospectively evaluate the effect of a community-based diabetic telemedicine retinal screening program on eye care use. Common referral diagnoses were nonmacular diabetic retinopathy (43.2%), nerve-related disease (30.8%), lens or media opacity (19.1%), age-related macular degeneration (12.9%), and diabetic macular edema (5.6%). The percentage of agreement among these was 90.4%, with a total sensitivity of 73.6%. Using Medicare cost data estimates, the mean cost incurred in 2 years per patient seen in the eye clinic was about $1000.