”... telemedicine...[is] helpful not only to… prepare for the...Screening Clinic but it also begins the mentoring process..."(from the Flying Eye Hospital) Why Pre-Screening? For more than a quarter century screening day for a Flying Eye Hospital (FEH) program has been an ORBIS tradition.  The event is exciting and sometimes borders on chaotic: as one ORBIS CEO put it, "screening day is a photo opportunity that we can never abandon."  On the flip side, screening day can be a huge disappointment for patients "not selected" because the problem cannot be fixed, is not in the area of expertise of the faculty that week, or simply there is no more room on the schedule.  Moreover, teaching opportunities can be lost because there is just too much to do and too much confusion.                                                                                                       What is Pre-Screening? Pre-screening is a program that allows partners to send patients they want to be examined and treated during an ORBIS program (FEH or HBP) using a special pre-screening page on Cyber-Sight.  The advantages are many and include: fewer disappointed patients, more responsibility taken by partners, and the opportunity for volunteer faculty (VF) to prepare for both the teaching and treatment aspects of the program.  Moreover, this pre-screening program introduces partners to the Cyber-Sight program that they can continue to use for follow-up evaluation and for sending new patients after the program ends, thereby creating valuable "Extended Presence" for the ORBIS program.  Finally, once established, Cyber-Sight E-Consultation can become a useful tool for monitoring and evaluation. A special thanks to Hunter Cherwek for his enthusiastic support and leadership resulting in a total of nearly 400 patients being pre-screened in the Jakarta and Surabaya programs, maintaining the solid tradition for pre-screening in the four recent FEH programs. Some comments of ORBIS volunteer faculty have been: "The HBP patients were examined by the host Pediatric Dept. doctors and HBP coordinator sent it to the VF via telemedicine for mentor in advance, therefore, the VF and trainees knew thoroughly about their patients.  It contributed to the quality and success of HBP." "Pre-screening consultation through Cyber-Sight has also helped a lot.  Not only for me as a mentor knowing in advance what I was going to find during this week, but also in establishing a bond with the partners.  Usually when you get to a new place it takes some time till they feel confident and begin asking questions about their cases.  Since we had already discussed some of the cases through Cyber-Sight, communication was more fluid." "This excellent web-based exchange allowed me to be more comfortable with the cases and doctors, and allowed me to prepare more completely for this trip.  Without this correspondence prior to the trip, I am sure that we would not have been able to accomplish the many clinical and surgical cases that we managed to do during such a short time."