Out of 1085 patients, 362 were seen at glaucoma clinics, 341 were seen at retina clinics, and 382 were seen at physician clinics. The kappa agreement between AI and the glaucoma grader was 85% [95% confidence interval (CI) 77.55–92.45%], and retina grading had 91.90% (95% CI 87.78–96.02%). The retina grader from the glaucoma clinic had 85% agreement, and the glaucoma grader from the retina clinic had 73% agreement. The sensitivity and specificity of AI glaucoma grading were 79.37% (95% CI 67.30–88.53%) and 99.45 (95% CI 98.03–99.93), respectively; DR grading had 83.33% (95 CI 51.59–97.91) and 98.86 (95% CI 97.35–99.63). The cross?referral accuracy of DR and glaucoma was 89.57% and 95.43%, respectively.