• Conceived by TelessaúdeRS-UFRGS, a university telehealth center that creates and evaluates innovative telemedicine applications to overcome public healthcare challenges. [8]

• Headquarters located in the state capital, Porto Alegre, equipped with four private workstations for ophthalmologists;

• Eight remote units at primary or secondary care centers across the state;

• Trained nurses and technicians work at remote units under the supervision of a local general practitioner;

• Remote units and headquarters are networked through a high-speed, dedicated line;

• Current offer is 1,500–1,700 tele-eye exams per month;

• Each tele-eye exam covers visual acuity, refraction test, anterior segment imaging, non-dilated fundus examination, and intraocular pressure measurement;

• The ophthalmologist’s report is sent to the Primary Care Physician through a secure, online platform;

• Main funding provided by the Brazilian Ministry of Health trough PROADI-SUS, a national program that sponsors Unified Health System development.