Background and Aim: Teleophthalmology (TO) is transforming eye care by overcoming geographic barriers and delivering services to underserved areas through digital innovation. Understanding ophthalmologists' perspectives is essential for the successful implementation of TO. This study examines their perceptions of TO, with a focus on factors that influence its adoption in clinical practice. Materials and Methods: This cross-sectional study surveyed 120 practicing ophthalmologists in Saudi Arabia using a structured electronic questionnaire. Statistical analysis was conducted to explore associations between demographics and TO awareness. Results: The study found high awareness of TO, with 65% of participants demonstrating strong understanding. Younger ophthalmologists (47.5% aged 20–29) and those with higher qualifications showed higher awareness. 73.33% considered TO more cost-effective than traditional care, and 86% expressed interest in additional training. 61% had attended over four TO sessions in the past year. Conclusion: The study reveals strong awareness, perceived cost-effectiveness, and interest in TO training, particularly among early-career ophthalmologists in Saudi Arabia's urban, government healthcare sector. Education is key for TO adoption, with efforts needed to expand rural access, develop structured training, and implement competency assessments to improve TO’s reach and quality of eye care.