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The objective was to evaluate the results and outcome from virtual paediatric ophthalmology clinics with particular emphasis on suspected disc swelling referrals.Inclusion criteria was all Optometrist referral for incidental disc or retina finding on routine review with good corrected VA who were otherwise asymptomatic or minimally symptomatic.Data was collected for clinics from 01/05/2023 to 31/08/2024 (16 months). 163 patients were booked in total and 129 actually attended. Out of them 68 were female (53%) and 61 were male (51%). Age range was 4–18 years (mean=11.5).Looking at reason for referral we found that majority were for suspicious discs 77/129= 60% followed by referrals for choroidal nevus, retinal pigmentation and macular abnormalities.Final diagnosis after virtual review showed 30.33% normal discs, disc drusens 14.6%, chorioretinal scars 6.2%, congenital discs anomalies 30% and retinal abnormalities 19%.101/129 (78%) patients were discharged after first visit to virtual clinic while 28/129=22% needed in pediatric ophthalmology clinic.Our results showed that virtual clinic are safe and effective way of reducing workload in paediatric ophthalmology. It helped to reduce RTT from 18 months to 4 months. A large majority (>90%) of suspected disc swelling referrals from community optometrists were false positive with not a single case of papilledema identified. In future there is scope to include anterior segment pathologies (VKC, keratoconus, corneal dystrophies etc) and posterior segment pathologies (hereditary fundus dystrophies, neuro ophthalmology disease). Training of AHP (optometrists/orthoptists) and other senior doctors is highly recommended.