We are facing a crisis in ophthalmic health care delivery. Many potentially blinding diseases are more common in older populations. The US population older than 65 years is growing faster than the number of ophthalmologists.1 Technology, including telemedicine, has advanced, allowing us to manage many potentially blinding diseases. With a relative shortage of ophthalmologists and an increasing population older than 65 years, we must develop innovative solutions to prevent needless blindness.