-----BEGIN PRIVACY-ENHANCED MESSAGE-----
Proc-Type: 2001,MIC-CLEAR
Originator-Name: webmaster@www.sec.gov
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MIC-Info: RSA-MD5,RSA,
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 4RQXuuMjTUHyS5lkWOQgFA==

<SEC-DOCUMENT>0000910680-10-000010.txt : 20100108
<SEC-HEADER>0000910680-10-000010.hdr.sgml : 20100108
<ACCEPTANCE-DATETIME>20100108182338
ACCESSION NUMBER:		0000910680-10-000010
CONFORMED SUBMISSION TYPE:	4
PUBLIC DOCUMENT COUNT:		1
CONFORMED PERIOD OF REPORT:	20100106
FILED AS OF DATE:		20100108
DATE AS OF CHANGE:		20100108

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			Arkin Moshe
		CENTRAL INDEX KEY:			0001321178

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-11140
		FILM NUMBER:		10518593

	MAIL ADDRESS:	
		STREET 1:		C/O PERRIGO, 515 EASTERN AVENUE
		CITY:			ALLEGAN
		STATE:			MI
		ZIP:			49010

ISSUER:		

	COMPANY DATA:	
		COMPANY CONFORMED NAME:			OPHTHALMIC IMAGING SYSTEMS
		CENTRAL INDEX KEY:			0000885317
		STANDARD INDUSTRIAL CLASSIFICATION:	SURGICAL & MEDICAL INSTRUMENTS & APPARATUS [3841]
		IRS NUMBER:				943035367
		STATE OF INCORPORATION:			CA
		FISCAL YEAR END:			1231

	BUSINESS ADDRESS:	
		STREET 1:		221 LATHROP WAY
		STREET 2:		SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815
		BUSINESS PHONE:		9166462020

	MAIL ADDRESS:	
		STREET 1:		221 LATHROP WAY
		STREET 2:		SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815

	FORMER COMPANY:	
		FORMER CONFORMED NAME:	OPHTHALMIC IMAGING SYSTEMS INC
		DATE OF NAME CHANGE:	19930328

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			A.M. AccelMed Management (2009) Ltd.
		CENTRAL INDEX KEY:			0001467668

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-11140
		FILM NUMBER:		10518592

	BUSINESS ADDRESS:	
		STREET 1:		C/O OPHTHALMIC IMAGING SYSTEMS
		STREET 2:		221 LATHROP WAY, SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815
		BUSINESS PHONE:		(916) 646-2020

	MAIL ADDRESS:	
		STREET 1:		C/O OPHTHALMIC IMAGING SYSTEMS
		STREET 2:		221 LATHROP WAY, SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			M. ARKIN (1999) LTD.
		CENTRAL INDEX KEY:			0001467669

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-11140
		FILM NUMBER:		10518591

	BUSINESS ADDRESS:	
		STREET 1:		C/O OPHTHALMIC IMAGING SYSTEMS
		STREET 2:		221 LATHROP WAY, SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815
		BUSINESS PHONE:		916-646-2020

	MAIL ADDRESS:	
		STREET 1:		C/O OPHTHALMIC IMAGING SYSTEMS
		STREET 2:		221 LATHROP WAY, SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815

REPORTING-OWNER:	

	OWNER DATA:	
		COMPANY CONFORMED NAME:			U.M. AccelMed, Limited Partnership
		CENTRAL INDEX KEY:			0001467670

	FILING VALUES:
		FORM TYPE:		4
		SEC ACT:		1934 Act
		SEC FILE NUMBER:	001-11140
		FILM NUMBER:		10518594

	BUSINESS ADDRESS:	
		STREET 1:		C/O OPHTHALMIC IMAGING SYSTEMS
		STREET 2:		221 LATHROP WAY, SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815
		BUSINESS PHONE:		(916) 646-2020

	MAIL ADDRESS:	
		STREET 1:		C/O OPHTHALMIC IMAGING SYSTEMS
		STREET 2:		221 LATHROP WAY, SUITE 1
		CITY:			SACRAMENTO
		STATE:			CA
		ZIP:			95815
</SEC-HEADER>
<DOCUMENT>
<TYPE>4
<SEQUENCE>1
<FILENAME>f4umaccelmed01062010_ex.xml
<TEXT>
<XML>
<?xml version="1.0"?>
<ownershipDocument>

    <schemaVersion>X0303</schemaVersion>

    <documentType>4</documentType>

    <periodOfReport>2010-01-06</periodOfReport>

    <notSubjectToSection16>0</notSubjectToSection16>

    <issuer>
        <issuerCik>0000885317</issuerCik>
        <issuerName>OPHTHALMIC IMAGING SYSTEMS</issuerName>
        <issuerTradingSymbol>OISI</issuerTradingSymbol>
    </issuer>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001467670</rptOwnerCik>
            <rptOwnerName>U.M. AccelMed, Limited Partnership</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>6 HACHOSHLIM ST</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>HERZELIA</rptOwnerCity>
            <rptOwnerState>L3</rptOwnerState>
            <rptOwnerZipCode></rptOwnerZipCode>
            <rptOwnerStateDescription>ISRAEL</rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>1</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001321178</rptOwnerCik>
            <rptOwnerName>Arkin Moshe</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>6 HACHOSHLIM ST</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>HERZELIA</rptOwnerCity>
            <rptOwnerState>L3</rptOwnerState>
            <rptOwnerZipCode></rptOwnerZipCode>
            <rptOwnerStateDescription>ISRAEL</rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001467668</rptOwnerCik>
            <rptOwnerName>A.M. AccelMed Management (2009) Ltd.</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>6 HACHOSHLIM ST</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>HERZELIA</rptOwnerCity>
            <rptOwnerState>L3</rptOwnerState>
            <rptOwnerZipCode></rptOwnerZipCode>
            <rptOwnerStateDescription>ISRAEL</rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <reportingOwner>
        <reportingOwnerId>
            <rptOwnerCik>0001467669</rptOwnerCik>
            <rptOwnerName>M. ARKIN (1999) LTD.</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>6 HACHOSHLIM ST</rptOwnerStreet1>
            <rptOwnerStreet2></rptOwnerStreet2>
            <rptOwnerCity>HERZELIA</rptOwnerCity>
            <rptOwnerState>L3</rptOwnerState>
            <rptOwnerZipCode></rptOwnerZipCode>
            <rptOwnerStateDescription>ISRAEL</rptOwnerStateDescription>
        </reportingOwnerAddress>
        <reportingOwnerRelationship>
            <isDirector>0</isDirector>
            <isOfficer>0</isOfficer>
            <isTenPercentOwner>1</isTenPercentOwner>
            <isOther>0</isOther>
        </reportingOwnerRelationship>
    </reportingOwner>

    <nonDerivativeTable>
        <nonDerivativeTransaction>
            <securityTitle>
                <value>Common Stock</value>
            </securityTitle>
            <transactionDate>
                <value>2010-01-06</value>
            </transactionDate>
            <transactionCoding>
                <transactionFormType>4</transactionFormType>
                <transactionCode>P</transactionCode>
                <equitySwapInvolved>0</equitySwapInvolved>
            </transactionCoding>
            <transactionAmounts>
                <transactionShares>
                    <value>124286</value>
                    <footnoteId id="F1"/>
                </transactionShares>
                <transactionPricePerShare>
                    <value>0.70</value>
                </transactionPricePerShare>
                <transactionAcquiredDisposedCode>
                    <value>A</value>
                </transactionAcquiredDisposedCode>
            </transactionAmounts>
            <postTransactionAmounts>
                <sharesOwnedFollowingTransaction>
                    <value>9757514</value>
                </sharesOwnedFollowingTransaction>
            </postTransactionAmounts>
            <ownershipNature>
                <directOrIndirectOwnership>
                    <value>D</value>
                    <footnoteId id="F2"/>
                    <footnoteId id="F3"/>
                </directOrIndirectOwnership>
            </ownershipNature>
        </nonDerivativeTransaction>
    </nonDerivativeTable>

    <footnotes>
        <footnote id="F1">On January 6, 2010, MediVision Medical Imaging Ltd. (&quot;MediVision&quot;) sold 124,286 shares of common stock, no par value per
 share, of Ophthalmic Imaging Systems (the &quot;Company&quot;), to U.M. AccelMed, Limited Partnership (&quot;AccelMed&quot;) at $0.70 per share
 of common stock.</footnote>
        <footnote id="F2">These securities are owned directly by AccelMed and indirectly by A.M. AccelMed Management (2009) Ltd., the general partner
 of AccelMed (the &quot;General Partner&quot;), M. Arkin (1999) Ltd (&quot;M. Arkin (1999)&quot;), the beneficial owner of 80% of the outstanding
 shares of the General Partner, and Moshe Arkin, the sole director and the beneficial owner of 99.9% of the outstanding
 shares of M. Arkin (1999).</footnote>
        <footnote id="F3">The filing of this Form 4 shall not be construed as an admission that the General Partner, M. Arkin (1999) or Mr. Arkin is or
 was for the purposes of Section 16(a) of the Securities Exchange Act of 1934, as amended, the beneficial owner of any of the
 shares of common stock of the Company owned by AccelMed. Pursuant to Rule 16a-1, each of the General Partner, M. Arkin
 (1999) and Mr. Arkin disclaim beneficial ownership of the shares of the Company reported herein that are beneficially owned
 by AccelMed, except to the extent of their pecuniary interest therein.</footnote>
    </footnotes>

    <remarks>This is a joint filing by AccelMed, the General Partner, M. Arkin (1999) and Mr. Arkin. AccelMed also may be deemed a
 director by virtue of its right to appoint three directors to the Company's board of directors. Uri Geiger, Menachem Inbar
 and Ariel Shenhar currently serve as AccelMed's representatives on the Company's board of directors.</remarks>

    <ownerSignature>
        <signatureName>U.M. AccelMed, Limited Partnership, By: A.M. Management (2009) Ltd., By: M. Arkin (1999) Ltd., By: /s/ Moshe Arkin</signatureName>
        <signatureDate>2010-01-06</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>A.M. Management (2009) Ltd., By: M. Arkin (1999) Ltd., By: /s/ Moshe Arkin</signatureName>
        <signatureDate>2010-01-06</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>By: M. Arkin (1999) Ltd., By: /s/ Moshe Arkin</signatureName>
        <signatureDate>2010-01-06</signatureDate>
    </ownerSignature>

    <ownerSignature>
        <signatureName>/s/ Moshe Arkin</signatureName>
        <signatureDate>2010-01-06</signatureDate>
    </ownerSignature>
</ownershipDocument>
</XML>
</TEXT>
</DOCUMENT>
</SEC-DOCUMENT>
-----END PRIVACY-ENHANCED MESSAGE-----