Telescope Exchange Study

Inclusion Criteria:

• Have retinal findings of geographic atrophy or disciform scar with foveal involvementas 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), uncontrolledglaucoma, 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 duringthe 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 betaken from the posterior surface of the cornea (endothelium) to the anteriorsurface of the IOL.

• Axial length < 21 mm or >27 mm

• Endothelial cell density (ECD) lower than 2300 cells/mm2 for subjects between theages 65-69, lower than 2000 cells/mm2 for subjects between the ages of 70-74, andlower 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 cataractremoval and IOL placement

• History of complicated cataract surgery

• Compromised capsular bag (previous YAG posterior capsulotomy, evidence oftearing)

• 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 telescopeimplantation

• Any medical or ophthalmic condition that in the opinion of the investigatorrenders the subject unsuitable for participation in the study