An imaging device includes a housing having a surface that can engage the face of a patient. A cavity is at least partially defined by the surface. An anterior imaging system includes an optical lens barrel positioned inside the cavity, and the optical lens barrel includes a variable focus lens at one end and an image sensor array at an opposite end. One or more illumination LEDs are positioned around the periphery of the optical lens barrel at opposite sides of the variable focus lens, and are configured to illuminate the cavity to capture images of an anterior of the eye.