Exhibit 99.1


OPHTHALMIC IMAGING SYSTEMS                     CONTACTS:         Gil Allon, CEO
221 Lathrop Way, Suite I                                     Ariel Shenhar, CFO
Sacramento, CA  95815                                            (916) 646-2020

                               INVESTOR RELATIONS:  Evan Smith, CFA/Erica Pettit
                                                             KCSA Worldwide
                                                     212-896-1251 / 212-896-1248
                                                           FOR IMMEDIATE RELEASE
                                                           ---------------------

  OPHTHALMIC IMAGING SYSTEMS REPORTS 2004 THIRD QUARTER AND NINE MONTH RESULTS
               COMPANY REPORTS 12TH CONSECUTIVE PROFITABLE QUARTER

         SACRAMENTO,  California,  November 4, 2004.  Ophthalmic Imaging Systems
(the "Company") (OTCBB: OISI) today reported its financial results for the third
quarter ended September 30, 2004.

         The Company  reported net revenues of $2,615,000  for the third quarter
of 2004, compared with net revenues of $2,446,000 for the third quarter of 2003,
an increase of approximately 7%. The Company reported net income of $327,000, or
$0.02 per basic and diluted  share,  for the third quarter of 2004 compared with
net income of  $310,000,  or $0.02 per basic and  diluted  share,  for the third
quarter of 2003.  For the first nine months of 2004,  the Company  reported  net
income of  $811,000,  or $0.06 per basic share and $0.05 per diluted  share,  on
revenues of $7,415,000.  For the first nine months of 2003, the Company reported
net income of $905,000, or $0.09 per basic share and $0.08 per diluted share, on
revenues  of   $7,233,000.   The  decrease  in  earnings  per  share  is  mainly
attributable to an increase of more than 45% in the weighted number of shares of
common stock outstanding between the comparable nine-month periods.

         Gil Allon, Chief Executive Officer of the Company,  commented,  "We are
very  pleased  that  during  the  third  quarter  of 2004 we have  seen  another
consecutive  quarter of profitability  and, as we projected earlier in the year,
our traditional growth momentum is returning. We are particularly happy that our
new  Ophthalmology  Office(TM)  product  line  has  begun to  contribute  to the
increase in revenues.  In addition, we are pleased that we were able to increase
our net income in the quarter  while our R&D spending  increased 13% compared to
the third  quarter of 2003."

         Mr. Allon  concluded,  "At the joint  AAO/SOE 2004 meeting last week we
unveiled two new products,  OIS WinStation  3200(TM)  imaging system and the OIS
WebStation(TM)  common software  platform,  which we believe will  significantly
contribute to our sales over the coming quarters.  We are extremely pleased that
the record order bookings at this event exceeded our expectations.  Based on the
considerable  attention for these products from the  professional  community and
the orders  booked at the show,  we expect to begin seeing the sales  benefit of
these products during the fourth quarter of this year. "

                     * * * * * C O N T I N U E D * * * * *



Ophthalmic Imaging Systems
Press Release
November 4, 2004
Page 2

         Ophthalmic Imaging Systems, a majority-owned  subsidiary of MediVision,
is the leading  provider of  ophthalmic  digital  imaging  systems.  The Company
designs,  develops,   manufactures  and  markets  digital  imaging  systems  and
informatics  solutions  for the eye care  market.  With over twenty years in the
ophthalmic  imaging  business,  the Company  has  consistently  introduced  new,
innovative  technology.  The Company,  together with  MediVision,  co-market and
support  their  products  worldwide  through an  extensive  network of  dealers,
distributors, and direct representatives.

                           OPHTHALMIC IMAGING SYSTEMS
                             SELECTED FINANCIAL DATA



                                               Three months ended                    Nine months ended
                                                  September 30,                        September 30,
                                                  -------------                        -------------
                                             2004               2003              2004              2003
                                             ----               ----              ----              ----
                                          (unaudited)       (unaudited)       (unaudited)       (unaudited)

                                                                                  
Net revenues                          $    2,614,798      $   2,446,084     $  7,414,907      $  7,232,522
Cost of sales                              1,053,576            986,422        2,925,522         2,923,506
                                      --------------------------------------------------------------------------
Gross profit                               1,561,222          1,459,662        4,489,385         4,309,016

   Sales and marketing                       641,828            661,872        1,997,834         1,992,427

   General and administrative                290,912            219,126          796,716           760,457
   Research and development                  242,847            215,003          720,033           476,234
                                      --------------------------------------------------------------------------
Total operating expenses                   1,175,587          1,096,001        3,514,583         3,229,118
                                      --------------------------------------------------------------------------
Income from operations                       385,635            363,661          974,802         1,079,898
Interest and other expense, net              (58,922)           (46,077)        (163,590)         (164,546)
                                      --------------------------------------------------------------------------
Net income before income taxes               326,713            317,584          811,212           915,352
Income taxes                                    --               (7,500)            --             (10,500)
                                      --------------------------------------------------------------------------
Net income                            $      326,713      $     310,084     $    811,212      $    904,852
                                      ==========================================================================

Income per basic share                $         0.02      $        0.02     $       0.06      $       0.09
                                      ==========================================================================

Shares used in the calculation of net
  income per basic share                  14,975,014         14,354,521       14,683,620        10,233,147
                                      ==========================================================================

Income per diluted share              $         0.02     $         0.02     $       0.05      $       0.08
                                      ==========================================================================

Shares used in the calculation of net
  income per diluted share                15,981,937         15,251,916       15,716,088        10,684,385
                                      ==========================================================================


STATEMENTS   IN  THIS  PRESS  RELEASE   WHICH  ARE  NOT   HISTORICAL   DATA  ARE
FORWARD-LOOKING STATEMENTS WHICH INVOLVE KNOWN AND UNKNOWN RISKS, UNCERTAINTIES,
OR OTHER  FACTORS  NOT  UNDER THE  COMPANY'S  CONTROL,  WHICH  MAY CAUSE  ACTUAL
RESULTS,  PERFORMANCE, OR ACHIEVEMENTS OF THE COMPANY TO BE MATERIALLY DIFFERENT
FROM  THE  RESULTS,   PERFORMANCE,   OR  OTHER  EXPECTATIONS  IMPLIED  BY  THESE
FORWARD-LOOKING STATEMENTS. THESE FACTORS INCLUDE, BUT ARE NOT LIMITED TO, THOSE
DETAILED IN THE  COMPANY'S  PERIODIC  FILINGS WITH THE  SECURITIES  AND EXCHANGE
COMMISSION.