Diabetic retinopathy is the leading cause of blindness in working-age adults, ages 20-74. The tele-ophthalmology program was launch at UCD Health in 2018 and was expanded during the COVID-19 pandemic to improveearly screening for diabetic retinopathy. Assess diabetic retinopathy screening utilization during the COVID-19 pandemic. This study evaluates follow-up encounters and outcomes.