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Diabetic retinopathy(DR)remains a major cause of worldwide preventable blindness among working-age adults. DR screening programs are challenged by the rising burden of diabetes, unbalancing distribution of health resources and poor compliance with regular fundus examination. Teleophthalmology provide a viable method for rural remotely diabetic patients evaluated and monitored by the ophthalmologist at far location by exchange of medical data through electronic telecommunications technology. This review apply Wilson and Jungner's all 10 criteria of screening for chronic diseases to evaluate telemedicine screening program, summarizes and compares telemedicine screening programs according to American Telemedicine Association validation level.