In this issue of JAMA Ophthalmology, Wedekind et al1 describe the results of a survey conducted among emergency department nurse managers and physicians in California regarding the perceived need for ophthalmology coverage in the emergency department and the role that telemedicine might play in meeting those needs. The authors found that emergency departments in rural communities were less likely to have ophthalmology coverage than were emergency departments in nonrural areas. Patients in rural communities also were more likely to be referred to another facility and to travel a greater distance to obtain an ophthalmology consultation. Nearly half of both nurse managers and physicians believed that teleophthalmology would be helpful for patient triage.