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Conventional referral systems provide limited communication with optometrists, particularly in image sharing. Post-COVID recovery plans led to an online referral platform, Cinapsis, being commissioned within the Cambridgeshire & Peterborough Integrated Care System (ICS).which was fully adopted by paediatric ophthalmology at Cambridge University Hospitals (CUH) in October 2021. This system streamlines referrals, enables image sharing from local optometrists, and provides Advice & Guidance (A&G) in real time. , facilitating secure and effective communication between optometrists and ophthalmologists.To evaluate the efficiency of referral triage and A&G decisions.To assess optometrists’ satisfaction with communication via the Cinapsis system.Retrospective analysis of Cinapsis referral data received by CUH (Jan-Dec 2023) and a prospective survey of local optometry practices within the ICS. Parameters assessed: speed of triage, number of accepted referrals, proportion of A&G-only referrals, and optometrists’ satisfaction with the quality, speed, and educational value of advice.Cinapsis enabled rejection with advice in 25% of cases, compared to 5% with conventional referrals. The average triage and advice turnaround was 24 hours with Cinapsis, versus approximately 7 days with conventional systems. 90% of optometrists rated the advice speed as ‘fast’ or ‘very fast,’ 95% found it reassuring, and 90% stated that Cinapsis ‘significantly contributed to their clinical development’ in paediatric practice.Cinapsis reduced unnecessary referrals to hospital-based services (HES) and provided quick turnaround for paediatric ophthalmology. It empowered optometrists to manage patient care in the community and facilitated real-time education through detailed guidance from consultants.