Exhibit 23.1
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            CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM




         We consent to the reference to our firm under the caption "Experts" and
to the use of our  report  dated  February  20,  2004 in this Form  SB-2/A,  and
related  Prospectus  of  Ophthalmic  Imaging  Systems  for the  registration  of
1,180,528 shares of its common stock.



PERRY-SMITH LLP


/s/ Perry-Smith LLP
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Sacramento, California
August 23, 2004