Yes, exactly. "Please don't touch my screen" has always worked fine for me. Especially if you get it out quick before they actually make contact, always say it politely, and make sure that you repeat the warning 100% of the time that there's a finger heading towards the screen.
"Hey, you see that thing right--"
"Please don't touch my screen."
"I didn't touch it, though."
"I know. Thank you. Please keep it that way."
"Ok... anyway, the thing right here--" (pointing)
"Please don't touch my screen."
(mildly annoyed, steps back a foot) "So, the thing under the red bit there..."
The downside is that the obsessive screen smudger will be a little bit annoyed at you. Which, in my opinion, is better that you being annoyed at them. At least it's in the open. And, there's a good chance that they won't come bother you f2f as much, unless it's really necessary, which is a bonus.
If that doesn't work, just work remotely.
And, seriously, what kind of unevolved cretin can't communicate without pointing anyway? It's embarrassing. If you have to point, point with the mouse, or learn to use Skitch.