KERAVISION INC /CA/
10-Q, 1998-11-12
OPHTHALMIC GOODS
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                UNITED STATES SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.  20549

                                   FORM 10-Q


(Mark One)

(X)  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
     EXCHANGE ACT OF 1934.

             For the quarterly period ended September 30, 1998.

                                       OR

( )  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
     EXCHANGE ACT OF 1934.

            For the transition period from_______to_________


                         Commission file number 0-26208




                                KERAVISION, INC.

             (Exact name of Registrant as specified in its charter)

               DELAWARE                                    77-0328942
        (State of Incorporation)                          (I.R.S. Employer
                                                          Identification No.)

                              48630 MILMONT DRIVE
                               FREMONT, CA  94538
                    (Address of principal executive offices)

                                 (510) 353-3000
                        (Registrant's telephone number)



     Indicate by check mark whether the Registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
Registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days.

                           Yes     X     No
                                -------      -------

     As of November 6, 1998  there were 12,748,179 shares of Common Stock
outstanding.
<PAGE>

                                     INDEX
                                     -----

PART I.  FINANCIAL INFORMATION (unaudited)


   Item 1.   Condensed Consolidated Balance Sheets as of
             September 30, 1998 and December 31, 1997

             Condensed Consolidated Statements of Operations
             for the three-month and nine-month periods
             September 30, 1998 and 1997

             Condensed Consolidated Statements of Cash Flows
             for the nine-month periods ended
             September 30, 1998 and 1997

             Notes to Condensed Consolidated Financial
             Statements

   Item 2.   Management's Discussion and Analysis of Financial
             Condition and Results of Operations


PART II. OTHER INFORMATION

   Item 1.   Legal Proceedings

   Item 2.   Changes in Securities

   Item 3.   Defaults upon Senior Securities

   Item 4.   Submission of Matters to a Vote of Security Holders

   Item 5.   Other Items

   Item 6.   Exhibits and Reports on Form 8-K

SIGNATURES


<PAGE>










PART I.  FINANCIAL INFORMATION

Item 1.  CONDENSED CONSOLIDATED FINANCIAL STATEMENTS:

                                KERAVISION, INC.
                     CONDENSED CONSOLIDATED BALANCE SHEETS
               (in thousands)

<TABLE>
<CAPTION>
                                                        September 30,December 31,
                                                        1998         1997
                                                        -----------  -----------
<S>                                                     <C>          <C>
                                                        (Unaudited)   (Note 1)
                     ASSETS
Current assets: 
  Cash and cash equivalents..........................       $3,250       $2,574
  Available-for-sale investments.....................       10,580       11,539
  Prepaid expenses and other current assets..........        1,049        1,265
                                                        -----------  -----------
Total current assets.................................       14,879       15,378
                                                        -----------  -----------
Property and equipment, at cost:
  Manufacturing and laboratory equipment.............        3,664        3,298
  Office furniture and fixtures......................          597          586
  Leasehold improvements.............................          622          383
                                                        -----------  -----------
                                                             4,883        4,267
Accumulated depreciation and amortization............       (2,918)      (2,398)
                                                        -----------  -----------
  Net property and equipment.........................        1,965        1,869
Other assets.........................................          122           98
                                                        -----------  -----------
Total assets.........................................      $16,966      $17,345
                                                        ===========  ===========

LIABILITIES AND STOCKHOLDERS' EQUITY (NET CAPITAL DEFICIENCY)
Current liabilities:
  Accounts payable...................................       $1,213       $1,089
  Accrued payroll and related expenses...............          696          489
  Accrued clinical trial costs.......................        1,352        1,211
  Other accrued liabilities..........................          267          414
  Current portion of capital lease obligations.......          394          355
                                                        -----------  -----------
Total current liabilities............................        3,922        3,558

Capital lease obligations............................          667          850
Redeemable convertible series B preferred stock             17,106

Commitments and contingencies

Stockholders' equity:
  Common stock.......................................           13           13
  Additional paid-in capital.........................       79,383       76,540
  Deferred compensation..............................          (67)        (179)
  Accumulated deficit................................      (82,525)     (62,634)
  Notes receivable from stockholders.................       (1,533)        (803)
                                                        -----------  -----------
Total stockholders' equity (Net capital deficiency)..       (4,729)      12,937
                                                        -----------  -----------
Total liabilities and stockholders'
   equity (Net capital deficiency)...................      $16,966      $17,345
                                                        ===========  ===========
</TABLE>
See accompanying notes to unaudited condensed consolidated financial statements.
<PAGE>


                                KERAVISION, INC.
                CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                (In thousands, except per share data; unaudited)
<TABLE>
<CAPTION>
                                            Three Months Ended   Nine Months Ended
                                                September 30,        September 30,
                                           -------------------  -------------------
                                           1998      1997       1998      1997
                                           --------- ---------  --------- ---------
<S>                                        <C>       <C>        <C>       <C>
Net sales...........................           $239       $91       $503      $261

Costs and expenses:
   Cost of sales and manufacturing
    expenses........................          1,155       843      3,104     2,588
   Research and development.........          2,839     2,596      8,855     8,002
   Selling, general and
      administrative................          2,129     1,485      5,781     4,563
                                           --------- ---------  --------- ---------
Total costs and expenses............          6,123     4,924     17,740    15,153
                                           --------- ---------  --------- ---------
Operating loss......................         (5,884)   (4,833)   (17,237)  (14,892)

Interest income, net................            221       264        400       932
                                           --------- ---------  --------- ---------
 Net Loss...........................        ($5,663)  ($4,569)  ($16,837) ($13,960)

Quarterly dividend on preferred stock          (383)        0       (383)        0

Deemed dividend on preferred stock                0         0     (2,611)        0
                                           --------- ------------------------------
Net loss applicable to Common Shareholders  ($6,046)  ($4,569)  ($19,831) ($13,960)
                                           ========= =========  ========= =========
Basic and diluted net loss per share 
 applicable to Common Shareholders..         ($0.48)   ($0.36)    ($1.57)   ($1.12)
                                           ========= =========  ========= =========
Shares used in calculation of
 net loss per share.................         12,686    12,555     12,655    12,515

</TABLE>
See accompanying notes to unaudited condensed consolidated financial statements.
<PAGE>


                                KERAVISION, INC.
                CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS
                INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
                           (In thousands, unaudited)
<TABLE>
<CAPTION>
                                                             Nine  Months Ended
                                                                September  30,
                                                            -------------------
                                                            1998      1997
                                                            --------- ---------
<S>                                                         <C>       <C>
Cash flows from operating activities:
 Net Loss................................................   ($16,837) ($13,960)
 Adjustments to reconcile net loss to net cash
      used in operating activities:
   Depreciation and amortization.........................        520       492
   Expenses related to forgiveness of 
     stockholders' notes.................................         45        --
   Amortization of deferred compensation.................        112       112
     Other current assets................................        216      (317)
     Accounts payable....................................        124        18
     Accrued liabilities.................................        201       614
                                                            --------- ---------
    Total adjustments....................................      1,218       919
                                                            --------- ---------
    Net cash used in operating activities................    (15,619)  (13,041)
                                                            --------- ---------

Cash flows from investing activities:
 Purchases of available-for-sale investments.............    (20,335)  (19,428)
 Sales of available-for-sale investments.................     19,033     9,139
 Maturities of available-for-sale investments............      2,201    18,608
 Issuance of stockholders' notes.......................         (775)       --
 Capital expenditures....................................       (616)     (490)
 Other assets............................................        (24)      (11)
                                                            --------- ---------
    Net cash provided by (used in) investing activities..       (516)    7,818
                                                            --------- ---------

Cash flows from financing activities:
 Principal payments under capital lease obligations......       (324)     (293)
 Proceeds from sales-leaseback of capital equipment......        180       495
 Proceeds from issuance of equity securities, net
   of repurchases........................................        312       312
 Proceeds from issuance of redeemable convertible
   Series B..............................................     18,000        --
 Fees incurred to obtain additional financing............     (1,357)       --

                                                            --------- ---------
    Net cash provided by financing activities..               16,811       514
                                                            --------- ---------
Net increase (decrease) in cash and cash equivalents.....        676    (4,709)

Cash and cash equivalents at the beginning of the period.      2,574     8,291
                                                            --------- ---------
Cash and cash equivalents at the end of the period.......     $3,250    $3,582
                                                            ========= =========
Supplemental disclosure of non-cash financing activities:

Accrued dividends to preferred stock.....................     $2,912        --
                                                            ========= =========
Accretion related to preferred stock.....................        $82        --
                                                            ========= =========
</TABLE>
See accompanying notes to unaudited condensed consolidated financial statements.
<PAGE>



                                KERAVISION, INC.

Notes to Condensed Consolidated Financial Statements, (unaudited)

1.      Basis of Presentation


        The accompanying unaudited condensed financial statements of 
KeraVision, Inc. (the "Company" or "KeraVision"), have been prepared in 
accordance with generally accepted accounting principles for interim 
financial information and with the instructions for Form 10-Q and 
Article 10 of Regulation S-X.  The balance sheet as of September 30, 
1998, the statements of cash flows for the nine-month periods ended 
September 30, 1998 and 1997 and the statements of operations for the 
three and nine-month periods ended September 30, 1998 and 1997 are 
unaudited but include all adjustments (consisting only of normal 
recurring adjustments) which the Company considers necessary for a fair 
presentation of the financial position at such date and the operating 
results and cash flows for those periods.  Although the Company believes 
that the disclosures in these financial statements are adequate to make 
the information presented not misleading, certain information normally 
included in financial statements and related footnotes prepared in 
accordance with generally accepted accounting principles have been 
condensed or omitted pursuant to the rules and regulations of the 
Securities and Exchange Commission.  The accompanying financial 
statements should be read in conjunction with the financial statements 
and notes thereto included in the Company's Annual Report and Form 10-K 
for the year ended December 31, 1997.  The accompanying condensed 
consolidated balance sheet at December 31, 1997 is derived from audited 
financial statements at that date.

        Results for any interim period are not necessarily indicative of 
results for any other interim period or for the entire year.

2.      Financing

        On June 12, 1998, the Company issued 562,500 shares of the 
Company's Series B Redeemable Convertible Preferred Stock (the "Series B 
Shares") at $32.00 per share.  The Series B Shares are entitled to 
receive quarterly dividends at the rate of seven percent (7%) per annum, 
payable, at the election of the Company, in either cash or additional 
Series B Shares, as described in the Certificate of Designation of 
Rights, Preferences and Privileges of Series B Redeemable Convertible 
Preferred Stock (the "Certificate of Designation").  Each Series B Share 
is convertible into four shares of Common Stock at $8.00 per share.  The 
Series B Shares are convertible at the Company's option after two years 
if the price of the Company's Common Stock exceeds $16.00 per share.  
The conversion rate is subject to adjustment in the event of certain 
circumstances described in the Certificate of Designation, including if 
the then-current value of the Common Stock is below $8.00 per share on 
June 12, 2000.  The Series B Shares are redeemable at the option of the 
holders after five (5) years.  The cumulative quarterly dividends as of 
September 30, 1998 were approximately $381,000.

3.      Net Loss Per Common Share

        Net loss per common share is computed based on the weighted 
average number of common shares outstanding and excludes common stock 
equivalents as their effect would be antidilutive.  For the period ended 
September 30, 1998, preferred dividends, including the difference, at 
the date of issuance, between the market value of the Company's common 
stock and conversion price of the Company's Series B Redeemable 
Convertible Preferred Stock of $2.5 million (See Note 2), are added to 
the net loss to arrive at net loss applicable to common stockholders.

4.      Comprehensive Income

        As of January 1, 1998, the Company adopted Statement No. 130, 
"Reporting Comprehensive Income".   Statement No. 130 establishes new 
rules for the reporting and display of comprehensive income and its 
components; however, the adoption of this Statement had no impact on the 
Company's net income or stockholders' equity.   Statement No. 130 
requires unrealized gains or losses on the Company's available-for-sale 
securities and foreign currency translation adjustments, which prior to 
adoption were reported separately in stockholders' equity to be included 
in other comprehensive income. Total comprehensive income was not 
significant during the periods ended September 30, 1998 and 1997.


5.  AVAILABLE-FOR-SALE INVESTMENTS

          The Company's available-for-sale investments at September 30, 1998
were composed of the following (in thousands):

                                                   Gross      Estimated
                                                Unrealized      Fair
                                      Cost         Gain         Value
                                   -----------  -----------  -----------
Certificate of deposit.........          $159       $  --          $159
Reverse repurchase agreement...         2,460                     2,460
Corporate debt securities......         7,950           11        7,961
                                   -----------  -----------  -----------
Available-for-sale             
 investments...................       $10,569          $11      $10,580
                                   ===========  ===========  ===========

        All available-for-sale investments mature within one year.  Gross 
realized and unrealized gains/losses were not significant during the 
periods ended September 30, 1998 and 1997.

6.      Use of Estimates

        The preparation of financial statements in conformity with 
generally accepted accounting principles requires management to make 
estimates and assumptions.  These assumptions affect the reported 
amounts of assets and liabilities, the disclosure of contingent assets 
and liabilities at the date of the financial statements and the reported 
amounts of revenues and expenses during the reporting period.  
Management believes that all of the assumptions used in the preparation 
of financial statements contained in this Quarterly Report are 
reasonable and have a reasonable basis.  Actual results could differ 
from these estimates.

Item 2. Management's Discussion and Analysis of Financial Condition and 
Results of Operations:

        The following discussion should be read in conjunction with the 
unaudited financial statements and notes thereto included in Part I - 
Item 1 of this Quarterly Report and the audited financial statements and 
notes thereto and Management's Discussion and Analysis of Financial 
Condition and Results of Operations contained in the Company's Annual 
Report and Form 10-K for the year ended December 31, 1997.

Overview 

        Since its founding in November 1986, the Company has been engaged 
in the research and development of the KeraVision Ring and related 
technology.  Although the Company recorded its first revenue in the 
quarter ended December 31, 1996, the Company expects to continue to 
incur substantial losses at least through the year ending December 31, 
1999 and until sufficient revenue and margin can be generated to offset 
expenses.  Given the uncertainties in developing a new market, revenues 
may not significantly accelerate in the foreseeable future.  
Furthermore, the Company expects its expenses to increase as its 
marketing and sales and certain other areas increase.

        The Company is currently conducting Phase III trials for the 
KeraVision Ring in the United States and has had an application accepted 
for filing by the FDA for myopia in the range of -1.0 to -3.5 diopters. 
The Company has enrolled patients in the range of -0.5 and -1.0 diopters 
and -3.5 to -5.0 diopters in a Phase III trial.  In a late 1996 the Company
was granted the right to affix the CE mark on the KeraVision Ring for 
myopia which allows the Company to sell product in the range of -1.0 to
- -5.0 diopters in European Union countries.  In May 1998, the Company
received regulatory approval in Canada to sell the KeraVision Ring in
the range of -1.0 to -5.0 diopters;  the Company has subsequently
begun limited commercial sales in Canada.

        The research, manufacture, sale and distribution of medical 
devices such as the KeraVision Ring are subject to numerous regulations 
imposed by governmental authorities, principally the FDA and 
corresponding state and foreign agencies. The regulatory process is 
lengthy, expensive and uncertain. Prior to commercial sale in the United 
States, most medical devices, including the Company's KeraVision Ring, 
must be cleared or approved by the FDA. Securing FDA approvals and 
clearances will require the submission to the FDA of extensive clinical 
data and supporting information. Current FDA enforcement policy strictly 
prohibits the marketing of medical devices for uses other than those for 
which the product has been approved or cleared. After approvals have 
been given, product approvals and clearances can be withdrawn for 
failure to comply with regulatory standards or for the occurrence of 
unforeseen problems following initial marketing. Foreign governments or 
agencies also have review processes for medical devices which present 
many of the same risks.  The right to affix the CE mark can be 
withdrawn, resulting in an inability to sell products in European 
countries.

        There can be no assurance that the Company's research and 
development efforts will be successfully completed, and until the 
development and testing processes for the KeraVision Ring are complete, 
there can be no assurance that the KeraVision Ring will perform in the 
manner anticipated.  Although the Company does have approval to sell 
product in the European Union and Canada, there can be no assurance that 
the KeraVision Ring will prove to be safe or effective over the long 
term in correcting vision, that the product will be approved for 
marketing by the FDA or other government agencies or that the approvals 
that the Company has obtained will not be withdrawn.  There can also be 
no assurance that the KeraVision Ring or any other product developed by 
the Company, if any, will be commercially successful, will be 
successfully marketed or achieve market acceptance. There can be no 
assurance that the Company will ever achieve either significant revenues 
from sales of the KeraVision Ring or any other products, if developed, 
or ever achieve profitable operations. 

Results of Operations 

        Three Months Ended September 30, 1998 and 1997

        Revenue increased by $148,000 to $239,000 for the three-month 
period ended September 30, 1998 compared to $91,000 for the three-
month period  ended September 30, 1997.  The increase was due to an 
increase in shipments to Germany and Canada.

        Cost of sales and manufacturing expenses totaled $1.2 million
as compared to $0.8 million in the comparable prior year period.
These costs reflect currently low production volumes and certain fixed 
costs associated with the Company's manufacturing capabilities and 
investment in its quality system.

        Research and development expenses, which include clinical and 
regulatory expenses, for the three-month period ended September 30, 1998 
were $2.8 million, an increase of $0.2 million from the three-month 
period ended September 30, 1997. The increase is primarily due to
legal expenses related to patent coverage for KeraVision technology. 

        Selling, general and administrative expenses of $2.1 million were 
incurred in the three-month period ended September 30, 1998, an increase 
of $0.6 million from the $1.5 million incurred in the comparable prior 
year period.  The increase was primarily due to market-development 
expenses in Canada.

        The Company recorded $0.2 million of net interest income for the 
three-month period ended September 30, 1998, as compared to $0.3 million 
for the previous year.  Interest income decreased due to lower average 
cash and investment balances from period to period.  The net loss for 
the quarter was $5.7 million versus $4.6 million for the same quarter in 
1997. The net loss per share applicable to common stockholders was 48 
cents.  This per share calculation includes the effect of a dividend of 
$0.4 million to preferred stockholders as part of the recently completed 
Series B Preferred Stock financing. (See Note 2 to "Notes to 
Consolidated Financial Statements"). The Company believes that its net 
loss may significantly increase in future periods.

        Nine Months Ended September 30, 1998 and 1997

        Revenue increased by $242,000 to $503,000 for the nine-month 
period ended September 30, 1998 compared to $261,000 for the nine-month 
period ended September 30, 1997.  Sales for the nine-month period were 
primarily concentrated in Germany and France. The Company initiated its 
first product shipments to Canada following regulatory approval in May 
1998.

        Research and development expenses for the nine-month period ended 
September 30, 1998 were $8.9 million, an increase of $0.9 million over 
the comparable nine-month period in the prior year.  This increase was 
due to higher expenses related to continued investments in patent 
coverage.

        Selling, general and administrative expenses for the nine-month 
periods ended September 30, 1998 and 1997 were $5.8 million and $4.6 
million, respectively. The increase in selling, general and 
administrative expenses is primarily the result of increased marketing 
efforts relating to European commercialization and to market-development 
investments in Canada.

        The Company recorded $0.4 million of net interest income for the 
nine-month period ended September 30, 1998, as compared to $0.9 million 
for the same period in 1997.  Interest income decreased during the 
period  due to lower average cash and investment balances.  The net loss 
for the nine-month period ended September 30, 1998 was $16.8 million, an 
increase of $2.9 million over the loss of $14.0 million in the same 
period of the prior year.  The net loss per share applicable to common
stockholders was $1.57.  This per share calculation includes the effect
of a dividend of $0.4 million and a deemed dividend of $2.6 million to 
preferred stockholders as part of a recently completed Series B Preferred
Stock financing.  (See Note 2 to "Notes to Consolidated Financial
Statements").  The Company believes that its net loss may significantly 
increase in future periods.

Liquidity and Capital Resources 

        The Company has financed its operations since incorporation 
primarily through its initial public offering, private sales of 
preferred stock, interest income and equipment financing arrangements. 
On June 12, 1998, the Company completed the sale of Series B Convertible 
Preferred Stock with net proceeds to the Company of $16.6 million.  Cash 
used in operating activities for the first nine months of 1998 has 
increased to $16.4 million from $13.0 million in the same period of the 
prior year, reflecting increased selling, general and administrative and 
research and development expenditures. Cash, cash equivalents and 
available-for-sale investments were $13.8 million at September 30, 1998.  
Capital expenditures for the first nine months of 1998 and 1997 were 
$0.6 million and $0.5 million, respectively.

        The Company expects to continue to incur substantial expenses in 
support of additional research and development and sales and marketing 
activities, including cost of clinical studies, manufacturing costs, the 
expansion of its sales and marketing organization and the support for 
ongoing administrative activities.  The Company anticipates that the 
existing cash, cash equivalents and available-for-sale investments will 
enable it to maintain its current operations through at least December 
1998.

        The Company's cash requirements may vary materially from those now 
planned  because of results of research, development and clinical 
testing, establishment of relationships with strategic partners, changes 
in focus and direction of the Company's research and development 
programs, changes in the scale, timing, or cost of the Company's 
commercial manufacturing facility, competitive and technological 
advances, the FDA or other regulatory processes, changes in the 
Company's marketing and distribution strategy, and other factors. The 
Company will need to raise additional funds in the form of equity or 
debt financing to funds its future operations.  The Company may also 
enter into collaborative arrangements with corporate partners that could 
provide the Company with additional funding in the form of equity, debt 
or license fees in exchange for the Company's rights with respect to 
certain markets or technology.  There can be no assurance that the 
Company will able to raise any additional funds or enter into any such 
collaborative arrangements on terms favorable to the Company, or at all.  
If the Company is unable to obtain the necessary capital, significant 
reductions in spending or the delay or cancellation of planned 
activities or more substantial restructuring options may be necessary.

Year 2000 

The Year 2000 Issue is the result of computer programs being 
written using two digits rather than four to define the applicable year.  
Any of the Company's computer programs or hardware that have date-
sensitive software or embedded chips may recognize a date using "00" as 
the year 1900 rather than the year 2000.  This could result in a system 
failure or miscalculations causing disruptions of operations, including, 
among other things, a temporary inability to process transactions, send 
invoices, or engage in similar normal business activities.

Based on recent assessments, the Company determined that it would 
be required to replace a small portion of its software so that those 
systems will properly utilize dates beyond December 31, 1999. The 
Company has determined that all of its critical business systems already 
are year 2000 compliant.  Assessment, testing and remediation are 
proceeding in tandem, and the Company currently plans to have all 
modifications to systems completed and tested by mid-1999.  These 
activities are intended to encompass all major categories of systems in 
use by the Company, including manufacturing, sales, finance and human 
resources.  KeraVision is also actively working with critical suppliers 
of products and services to determine that the suppliers' operations and 
the products and services they provide are year 2000 compliant or to 
monitor their progress toward year 2000 compliance.  The Company 
reviewed its product line and determined that all of the products it has 
sold and will continue to sell do not require remediation to be year 
2000 compliant.  There can be no guarantee that any system of other 
companies, on which the Company's systems rely and which are not year 
2000 compliant, will be year 2000 compliant in a timely fashion and 
would not have an adverse effect on the Company's systems.

The costs incurred to date related to these programs are less than 
$5,000.  The Company currently expects that the total cost of these 
programs, including both incremental spending and redeployed resources, 
will not exceed $60,000.  The total cost estimated does not include 
potential costs related to any customer or other claims or the cost of 
internal software and hardware replaced in the normal course of 
business.  The total cost estimate is based on the current assessment of 
the projects and is subject to change as the projects progress.

Due to the Company's reliance on widely used software packages 
that have been certified as year 2000 compliant, the Company has not 
developed a formal contingency plan for software. Should unforeseen 
problems surface during its testing of those packages, the Company will 
evaluate its alternatives, such as utilizing different software 
packages.  The Company is currently working on developing contingency 
plans to increase inventories and raw materials in preparation for the 
year 2000.  This plan is currently in the development stages and should 
be finalized by mid -1999.

Based on currently available information, management does not 
believe that the year 2000 matters discussed above related to internal 
systems, will have a material adverse impact on the Company's financial 
condition or overall trends in results of operations; however, it is 
uncertain to what extent the Company may be affected by such matters.  
In addition, there can be no assurance that the failure to ensure year 
2000 compliance by a supplier or another third party would not have a 
material adverse effect on the Company.

Euro

The Company does not presently expect that the introduction and 
use of the Euro will materially affect the Company's foreign exchange or 
will result in any material increase in costs to the Company.  While 
KeraVision will continue to evaluate the impact of the Euro introduction 
over time, based on currently available information, management does not 
believe that the introduction of the Euro currency will have a material 
adverse impact on the Company's financial condition or overall trends in 
results of operations.

Forward Looking Statements

        The Company notes that certain of the foregoing statements in this 
report are forward looking and that actual results may differ materially 
due to a variety of factors including, but not limited to (i) slower 
than anticipated market acceptance of the KeraVision Ring and challenges 
associated with creating a market for a new products in Canada, the 
European Union and the United States, (ii) significant unforeseen delays 
in the FDA or foreign regulatory approval processes, (iii) 
determinations by the FDA or foreign regulatory bodies that the clinical 
data collected are insufficient to support safety and efficacy of the 
KeraVision Ring, (iv) the FDA's failure to schedule advisory review 
panels, (v) changes in FDA or foreign regulatory review guidelines, 
procedures, regulations or administrative interpretations, (vi) 
complications relating to the KeraVision Ring, the surgical procedure to 
insert the KeraVision Ring or use of the KeraVision Ring, (vii) 
inability to raise additional working capital funding, (viii) 
competitive products and technology and (ix) other risk factors 
described under the heading "Risk Factors Affecting the Company, its 
Business and its Stock Price" set forth in Item 1 of the Company's Form 
10-K for the year ended December 31, 1997, in the Company's Registration 
Statement on Form S-3 filed on July 13, 1998 and in other filings made 
with the Securities and Exchange Commission.

PART II.        OTHER INFORMATION

Item 1. Legal Proceedings

In July 1997, an interference action was brought in the 
United States Patent Trademark Office before the Board of 
Patent Appeals and Interferences in the matter of Loomas et. 
al. vs. Simon et. al., Interference No. 103,973.  The 
interference involves the issue of the priority of 
inventions relating to technology for forming corneal 
channels in which an implant or implants may be placed.  A 
settlement has been reached under which KeraVision owns both 
the patent and the application for which priority is in 
issue.  Final determinations by the Board of Patents Appeals 
and Interferences are still pending.

Item 2. Changes in Securities

        Not applicable.

Item 3. Defaults upon Senior Securities

        Not applicable.

Item 4. Submission of Matters to a Vote of Security Holders

        Not applicable

Item 5. Other Items

        Not applicable

Item 6. Exhibits and Reports on Form 8-K

        (a)     Exhibits:  

        10.14   Promissory Notes, dated July 15, 1998 executed  
                by Thomas Silvestrini in favor of Registrant and 
                all amendments thereto

        10.28   Promissory Notes, dated September 1, 1998 
                executed by Thomas Loarie in favor Registrant       

        10.29   Promissory Notes, dated September 1, 1998 
                executed by Darlene Crockett-Billig in favor of Registrant

        10.30   Promissory Notes, dated September 1, 1998 
                executed by Thomas Silvestrini in favor of Registrant

        10.31   Promissory Notes, dated September 1, 1998 
                executed by Mark Fischer-Colbrie in favor of Registrant

         27.1   Financial Data Schedule (filed via the EDGAR system)

(b)     The Company filed the following reports on Form 8-K 
        during the quarter ended September 30, 1998:         

                Report Date:  August 26, 1998
                Item 5.   Other Events

                Pioneering Ring Technology For Nearsighted People To 
                Receive Full PMA Review By FDA.

        -------------

                Report Date:  August 3, 1998
                Item 5.   Other Events

                KeraVision Appoints to Board Peter L. Wilson, Former 
                President of Richardson Vicks USA.

        --------------

                Report Date:  July 23, 1998
                Item 5.   Other Events

                KeraVison Appoints 23-Year J&J Veteran as VP-Europe.

        --------------

                Report Date:  July 23, 1998
                Item 5.   Other Events

                KeraVision Reports Second Quarter Results.

SIGNATURES

        Pursuant to the requirements of the Securities Exchange Act of 
1934, the Registrant has duly caused this report to be signed on its 
behalf by the undersigned thereunto duly authorized.

        KERAVISION, INC.



        /s/Mark Fischer-Colbrie 
        Mark Fischer-Colbrie
        Vice President, Finance and 
        Administration and Chief Financial Officer 
       (Principal Financial and Accounting Officer)


Date:  November 12, 1998

 


AMENDMENT OF PROMISSORY NOTE


        This Amendment of Promissory Note is made as of July 15, 1998, 
between KeraVision, Inc. (the "Company") and Thomas A. Silvestrini (the 
"Purchaser").

        The Promissory Note ("Note") executed by the Purchaser on 
July 15, 1996, under which the Purchaser promised to pay to the Company 
$19,909.44, plus interest, on or before July 15, 1998, is hereby amended 
as follows:

        (1)     The Company and the Purchaser hereby agree that the interest 
due with respect to the Note as of the date hereof is $2,477.06, which 
amount is hereby added to the original principal amount of the Note, so 
that the principal as of the date hereof is $22,386.50.

        (2)     The due date of all principal and interest under the Note is 
hereby extended to July 15, 2000.

        (3)     The interest rate of the Note changes as of this Amendment 
Date from the original  5.95% per annum, compounded semi-annually, to 
5.48% per annum, compounded semi-annually.

KERAVISION, INC.                             THOMAS A. SILVESTRINI

/s/Thomas M. Loarie                            /s/Thomas A. Silvestrini
Thomas M. Loarie
President & CEO

 


FULL RECOURSE

PROMISSORY NOTE


$293,090.13     Fremont, California
                September 1, 1998

        FOR VALUE RECEIVED, Thomas M. Loarie ("Borrower") promises to pay 
to KeraVision, Inc., a Delaware corporation (the "Company"), the 
principal sum of Two Hundred Ninety Three Thousand Ninety and 13/100 
Dollars ($293,090.13), together with interest on the unpaid principal 
hereof from the date hereof at the rate of 5.35% per annum, compounded 
semiannually.

        All principal and accrued interest shall be due and payable in 
full on the earliest of (a) December 1, 1998 or (b) the termination of 
Borrower's employment or consulting relationship with the Company for 
any reason (or for no reason).  Payments of principal and interest shall 
be made in lawful money of the United States of America and shall be 
credited first to the accrued interest, with the remainder applied to 
principal.

        Borrower may at any time prepay all or any portion of the 
principal or interest owing hereunder.

        The holder of this Note shall have full recourse against Borrower.  
Should any action be instituted for the collection of this Note, the 
reasonable costs and attorney's fees therein of the holder shall be paid 
by Borrower.



       /s/ Thomas M. Loarie

        Thomas M. Loarie

 

FULL RECOURSE
PROMISSORY NOTE


$83,086.36      Fremont, California
                September 1, 1998

        FOR VALUE RECEIVED, Darlene Crockett-Billig ("Borrower") promises 
to pay to KeraVision, Inc., a Delaware corporation (the "Company"), the 
principal sum of Eighty Three Thousand Eighty Six and 36/100 Dollars 
($83,086.36), together with interest on the unpaid principal hereof from 
the date hereof at the rate of 5.35% per annum, compounded semiannually.

        All principal and accrued interest shall be due and payable in 
full on the earliest of (a) September 1, 2001 or (b) the termination of 
Borrower's employment or consulting relationship with the Company for 
any reason (or for no reason).  Payments of principal and interest shall 
be made in lawful money of the United States of America and shall be 
credited first to the accrued interest, with the remainder applied to 
principal.

        Borrower may at any time prepay all or any portion of the 
principal or interest owing hereunder.

        The holder of this Note shall have full recourse against Borrower.  
Should any action be instituted for the collection of this Note, the 
reasonable costs and attorney's fees therein of the holder shall be paid 
by Borrower.

       /s/ Darlene Crockett-Billig
        Darlene Crockett-Billig

 


FULL RECOURSE

PROMISSORY NOTE


$76,327.92      Fremont, California
                September 1, 1998

        FOR VALUE RECEIVED, Thomas A. Silvestrini ("Borrower") promises to 
pay to KeraVision, Inc., a Delaware corporation (the "Company"), the 
principal sum of Seventy Six Thousand Three Hundred Twenty Seven and 
92/100 Dollars ($76,327.92), together with interest on the unpaid 
principal hereof from the date hereof at the rate of 5.35% per annum, 
compounded semiannually.

        All principal and accrued interest shall be due and payable in 
full on the earliest of (a) September 1, 2001 or (b) the termination of 
Borrower's employment or consulting relationship with the Company for 
any reason (or for no reason).  Payments of principal and interest shall 
be made in lawful money of the United States of America and shall be 
credited first to the accrued interest, with the remainder applied to 
principal.

        Borrower may at any time prepay all or any portion of the 
principal or interest owing hereunder.

        The holder of this Note shall have full recourse against Borrower.  
Should any action be instituted for the collection of this Note, the 
reasonable costs and attorney's fees therein of the holder shall be paid 
by Borrower.

       /s/Thomas A. Silvestrini
        Thomas A. Silvestrini


 

FULL RECOURSE

PROMISSORY NOTE


$71,307.27      Fremont, California
                September 1, 1998

        FOR VALUE RECEIVED, Mark Fischer-Colbrie ("Borrower") promises to 
pay to KeraVision, Inc., a Delaware corporation (the "Company"), the 
principal sum of Seventy One Thousand Three Hundred Seven and 27/100 
Dollars ($71,307.27), together with interest on the unpaid principal 
hereof from the date hereof at the rate of 5.35% per annum, compounded 
semiannually.

        All principal and accrued interest shall be due and payable in 
full on the earliest of (a) September 1, 2001 or (b) the termination of 
Borrower's employment or consulting relationship with the Company for 
any reason (or for no reason).  Payments of principal and interest shall 
be made in lawful money of the United States of America and shall be 
credited first to the accrued interest, with the remainder applied to 
principal.

        Borrower may at any time prepay all or any portion of the 
principal or interest owing hereunder.

        The holder of this Note shall have full recourse against Borrower.  
Should any action be instituted for the collection of this Note, the 
reasonable costs and attorney's fees therein of the holder shall be paid 
by Borrower.

       /s/ Mark Fischer-Colbrie
        Mark Fischer-Colbrie


<TABLE> <S> <C>
 
<ARTICLE>      5 
<LEGEND>   THE SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED  
           FROM THE CONDENSED CONSOLIDATED BALANCE SHEET AND THE          
           STATEMENT OF INCOME AND IS QUALIFIED IN ITS ENTIRETY BY
           REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND> 
<MULTIPLIER> 1,000 
       
<S>                                        <C>
<PERIOD-TYPE>                              3-MOS
<FISCAL-YEAR-END>                          DEC-31-1998
<PERIOD-START>                             JUL-01-1998
<PERIOD-END>                               SEP-30-1998
<CASH>                                        3,250
<SECURITIES>                                 10,580
<RECEIVABLES>                                     0
<ALLOWANCES>                                      0
<INVENTORY>                                       0
<CURRENT-ASSETS>                             14,879
<PP&E>                                        4,883
<DEPRECIATION>                                2,918
<TOTAL-ASSETS>                               16,966
<CURRENT-LIABILITIES>                         3,922
<BONDS>                                           0
                             0
                                       0
<COMMON>                                         13
<OTHER-SE>                                   (4,742)
<TOTAL-LIABILITY-AND-EQUITY>                 16,966
<SALES>                                         239
<TOTAL-REVENUES>                                239
<CGS>                                         1,155
<TOTAL-COSTS>                                 1,155
<OTHER-EXPENSES>                              4,968
<LOSS-PROVISION>                                  0
<INTEREST-EXPENSE>                                0
<INCOME-PRETAX>                              (5,663)
<INCOME-TAX>                                      0
<INCOME-CONTINUING>                          (5,663)
<DISCONTINUED>                                    0
<EXTRAORDINARY>                                   0
<CHANGES>                                      (383)
<NET-INCOME>                                 (6,046)
<EPS-PRIMARY>                                ($0.48)
<EPS-DILUTED>                                ($0.48)
         

</TABLE>


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