Objective To investigate the current state of ophthalmic patients′ consultations on the "Internet Plus Care Service" platform and analyze its influencing factors, in order to provide reference for optimizing nursing services. Methods A total of 781 ophthalmic patients were surveyed in terms of their use of online consultations for "Internet Plus Care Service" via "Internet Hospital". Results Of the 781 patients who asked for consultation, 330 (42.3%) were active, 117 (15.0%) were repeated, and 169 (21.6%) were asked on behalf of family members. Logistic regression analysis indicated that age, education level, person asking for consultation, type of disease, and concerns of the consultation (medication use, time to recheck and life style and physical activity) were the main influencing factors of active consultations (all P<0.05). Conclusion The rate of active consultations among ophthalmic patients is low, with relatively few repeat consultations. Healthcare professionals should conduct targeted interventions and optimize the platform based on the influencing factors to enhance patients′ willingness to engage in online consultations.