Exhibit 23.1

            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  March 2, 2005 in this Form SB-2,  and  related
Prospectus  of  Ophthalmic  Imaging  Systems for the  registration  of 6,000,000
shares of its common stock.


PERRY-SMITH LLP

/s/ PERRY-SMITH LLP

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Sacramento, California
April 5, 2005