Exhibit 23.1


                           CONSENT OF PERRY-SMITH LLP

                          INDEPENDENT AUDITOR'S CONSENT

         We consent to the reference to our firm under the caption "Experts" and
to the use of our report dated  February 17, 2003 in this Form SB-2, and related
Prospectus  of  Ophthalmic  Imaging  Systems for the  registration  of 1,716,496
shares of its common stock.



PERRY-SMITH LLP

/s/ PERRY-SMITH LLP
---------------------------
Sacramento, California
November 18, 2003