Telescope Exchange Study

Inclusion Criteria:

- Have retinal findings of geographic atrophy or disciform scar with foveal involvement
as determined by FA

- Be age 65 or older

- Have BCDVA between 20/160 to 20/800 (inclusive) on ETDRS chart

- Be pseudophakic in the eye selected for telescope implantation

- Agree to undergo pre-surgery training with a low vision specialist

- Achieve at least a 5-letter improvement on the ETDRS chart with an external telescope

- Agree to participate in postoperative vision training with a low vision specialist.

- Patients must be able to provide and sign a voluntary informed consent.

- Patients must not meet any of the exclusion criteria below.

Exclusion Criteria:

- Stargardt's macular dystrophy

- Cognitive impairment that would interfere with the ability to understand instructions,
follow directions, or prevent proper visual training/rehabilitation with the device.

- Any ophthalmic pathology that compromises fellow-eye peripheral vision

- A history of steroid-responsive rise in intraocular pressure (IOP), uncontrolled
glaucoma, or preoperative IOP >22mmHg while on maximum medication

- Known sensitivity to planned study concomitant medications.

- An ocular condition that predisposes the patient to eye rubbing.

- Patients participating in any other ophthalmic drug or device clinical trial during
the time of this clinical investigation.

- Operative eye with:

- Evidence of active CNV or treatment of CNV within 6 months

- IOLs of the following types: PMMA, Crystalens, Tetraflex, Synchrony.

- Central anterior chamber depth (ACD) < 3.0 mm; measurement of the ACD should be
taken from the posterior surface of the cornea (endothelium) to the anterior
surface of the IOL.

- Axial length < 21 mm or >27 mm

- Endothelial cell density (ECD) lower than 2300 cells/mm2 for subjects between the
ages 65-69, lower than 2000 cells/mm2 for subjects between the ages of 70-74, and
lower than 1800 cells/mm2 for subjects 75 years old or greater.

- Corneal stromal or endothelial dystrophies, including guttata

- History of intraocular or corneal surgery (including DSEK) except cataract
removal and IOL placement

- History of complicated cataract surgery

- Compromised capsular bag (previous YAG posterior capsulotomy, evidence of
tearing)

- History of Radial Keratotomy

- Inflammatory ocular disease

- Pseudoexfoliation or zonular weakness

- Diabetic retinopathy

- Untreated retinal tears

- Retinal vascular disease

- Optic nerve disease

- A history of retinal detachment

- Intraocular tumor

- Retinitis pigmentosa

- Prior or expected ophthalmic related surgery within 30 days preceding telescope
implantation

- Any medical or ophthalmic condition that in the opinion of the investigator
renders the subject unsuitable for participation in the study