To the Editor In an Original Investigation published in a recent issue of JAMA Internal Medicine, Daskivich et al1 show that primary care–based digital camera–enabled telemedicine screening for diabetic retinopathy increases the rate and decreases the wait time of such screening for the underserved diabetic population of the largest county public health system in the United States. Camera-based retinal screening in nonophthalmic settings is certainly a powerful disruptive innovation that will alter best practices in the way eye care is delivered across populations.2,3