JOINT FILING AGREEMENT

                                                                       EXHIBIT 1

                             JOINT FILING AGREEMENT

     By this Agreement, the undersigned agree that this Statement on Schedule
13D being filed on or about this date, and any subsequent amendments thereto
filed by any of us, with respect to the securities of Ophthalmic Imaging Systems
is being filed on behalf of each of us.

DATED: July 6, 2009

                                        U.M. ACCELMED, LIMITED PARTNERSHIP
                                        BY A.M. ACCELMED MANAGEMENT (2009) LTD.,
                                        GENERAL PARTNER

                                        /s/ Xxx Xxxxxx
                                        ----------------------------------------
                                        Xxx Xxxxxx
                                        Chairman

                                        A.M. ACCELMED MANAGEMENT (2009) LTD.

                                        /s/ Xxx Xxxxxx
                                        ----------------------------------------
                                        Xxx Xxxxxx
                                        Chairman

                                        X. XXXXX (1999) LTD.

                                        /s/ Xxxxx Xxxxx
                                        ----------------------------------------
                                        Xxxxx Xxxxx
                                        Director

                                        XXXXX XXXXX

                                        /s/ Xxxxx Xxxxx
                                        ----------------------------------------