Exhibit 10.20
 IN THE UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF DELAWARE
 )In re:
    
    
    )
    
    
    Chapter 11)TLC Vision (USA) Corporation , et al.,1
    
    
    )
    
    
    Case No. 09-14473 (KG))Debtors.
    
    
    )
    
    
    Jointly Administered)
 FOURTH AMENDED JOINT CHAPTER 11 PLAN OF  REORGANIZATION DATED AS OF MARCH 24, 2010
  RICHARDS LAYTON & FINGER, P.A.One Rodney Square920 North King StreetWilmington, Delaware 19801Telephone: (302) 651-7700Facsimile: (302) 651-7701Counsel for Debtors and Debtors in PossessionDated: Wilmington, Delaware
    
    PROSKAUER ROSE LLPMarch 24, 2010
    
    Mark K. ThomasPaul V. PossingerJeremy T. StillingsThree First National Plaza70 West Madison, Suite 3800Chicago, Illinois 60602Telephone: (312) 962-3550Facsimile: (312) 962-3551Counsel for Debtors and Debtors in Possession
 
 1
    
    The Debtors in the cases, along with the
last four digits of each Debtors federal tax identification number and
address, are: TLC Vision (USA) Corporation (6220) 16305 Swingley Ridge Road,
Chesterfield, MO 63017; TLC Vision Corporation (1150) 5280 Solar Drive, Suite
300, Mississauga, Ontario, L4W 5M8; and TLC Management Services, Inc. (0374)
1209 Orange Street, Wilmington, DE 19801.




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Table of Contents
 Page No.
   Section 1.01.
    
    DefinitionsSection 1.02.
    
    Rules of InterpretationSection 1.03.
    
    Exhibits
   Section 2.01.
    
    GenerallySection 2.02.
    
    Unclassified ClaimsSection 2.03.
    
    Classification of Claims Against and Interests in TLC USA.Section 2.04.
    
    Classification of Claims Against and Interests in TLC Canada.Section 2.05.
    
    Classification of Claims Against and Interests in TLC MSI.
   Section 3.01.
    
    Satisfaction of Claims and InterestsSection 3.02.
    
    Unclassified Claims, Classified
Unimpaired and Impaired Claims and Classified InterestsSection 3.03.
    
    Administrative ClaimsSection 3.04.
    
    Priority Tax ClaimsSection 3.05.
    
    Junior DIP ClaimsSection 3.06.
    
    Treatment of Claims Against and Interests in TLC USA:Section 3.07.
    
    Treatment of Claims Against and Interests in TLC Canada:Section 3.08.
    
    Treatment of Claims Against and Interests in TLC MSI:




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Section 4.01.
    
    Acceptance by Impaired Classes of Claims and InterestsSection 4.02.
    
    Voting ClassesSection 4.03.
    
    Ballot InstructionsSection 4.04.
    
    Cramdown
   Section 5.01.
    
    Timing of DistributionsSection 5.02.
    
    Distributions to Holders of Allowed ClaimsSection 5.03.
    
    Delivery of DistributionsSection 5.04.
    
    Method of Cash DistributionsSection 5.05.
    
    Fractional DollarsSection 5.06.
    
    Failure to Negotiate ChecksSection 5.07.
    
    Unclaimed DistributionsSection 5.08.
    
    Limitation on Distribution RightsSection 5.09.
    
    Compliance With Tax RequirementsSection 5.10.
    
    Documentation Necessary to Release Liens
  
 Section 6.01.
    
    Treatment of Executory Contracts and Unexpired LeasesSection 6.02.
    
    Cure of Defaults for Assumed Contracts and LeasesSection 6.03.
    
    Resolution of Objections to
Assumption of Executory Contracts and Unexpired LeasesSection 6.04.
    
    Bar Date for Rejection Claims




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Section 6.05.
    
    Treatment of Rejection ClaimsSection 6.06.
    
    Executory Contracts and Unexpired
Leases Entered Into and Other Obligations Incurred After the Petition DateSection 6.07.
    
    Modification of Change of Control ProvisionsSection 6.08.
    
    Reorganized Debtors Indemnification ObligationsSection 6.09.
    
    Benefit Programs
   Section 7.01.
    
    Corporate ActionSection 7.02.
    
    Plan FundingSection 7.03.
    
    Plan Sponsor AgreementSection 7.04.
    
    Articles of OrganizationSection 7.05.
    
    Operations Between the Confirmation Date and the Effective DateSection 7.06.
    
    Revesting of AssetsSection 7.07.
    
    Approval of AgreementsSection 7.08.
    
    Adoption or Assumption of Senior Management ContractsSection 7.09.
    
    Adoption of New Management Incentive PlanSection 7.10.
    
    Corporate Structure Changes
   Section 8.01.
    
    Preservation of RightsSection 8.02.
    
    Rights of ActionSection 8.03.
    
    SetoffsSection 8.04.
    
    No Payment or Distribution Pending AllowanceSection 8.05.
    
    Resolution of Disputed Claims




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Section 9.01.
    
    Conditions to ConfirmationSection 9.02.
    
    Conditions to Effective DateSection 9.03.
    
    Waiver of Conditions to Confirmation and ConsummationSection 9.04.
    
    Effect of Failure or Absence of
Waiver of Conditions Precedent to the Effective Date of the Plan
   Section 10.01.
    
    Post-Effective Date Operation of BusinessSection 10.02.
    
    Post Effective Date Officers and Directors
   Section 11.01.
    
    DischargeSection 11.02.
    
    InjunctionSection 11.03.
    
    ExculpationSection 11.04.
    
    ReleasesSection 11.05.
    
    IndemnificationSection 11.06.
    
    Other Documents and ActionsSection 11.07.
    
    Term of Injunctions or StaysSection 11.08.
    
    Preservation of InsuranceSection 11.09.
    
    GuarantiesSection 11.10.
    
    Subordination RightsSection 11.11.
    
    No Successor Liability




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Section 12.01.
    
    Exclusive Jurisdiction of Bankruptcy CourtSection 12.02.
    
    Failure of Bankruptcy Court to Exercise Jurisdiction
   Section 13.01.
    
    Binding Effect of PlanSection 13.02.
    
    Withdrawal of the PlanSection 13.03.
    
    Final OrderSection 13.04.
    
    Modification of the PlanSection 13.05.
    
    Business DaysSection 13.06.
    
    SeverabilitySection 13.07.
    
    Governing LawSection 13.08.
    
    Dissolution of CommitteeSection 13.09.
    
    Payment of Fees and Expenses of the
Junior DIP Agent and Junior DIP LendersSection 13.10.
    
    Payment of Statutory FeesSection 13.11.
    
    Post-Confirmation Operating ReportsSection 13.12.
    
    NoticesSection 13.13.
    
    Filing of Additional DocumentsSection 13.14.
    
    Section 1125 of the Bankruptcy CodeSection 13.15.
    
    Section 1146 ExemptionSection 13.16.
    
    Release of LiensSection 13.17.
    
    TimeSection 13.18.
    
    No Attorneys Fees




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Section 13.19.
    
    No Injunctive ReliefSection 13.20.
    
    Non-Voting Equity SecuritiesSection 13.21.
    
    Continued Confidentiality ObligationsSection 13.22.
    
    No Admissions or WaiversSection 13.23.
    
    Entire AgreementSection 13.24.
    
    WaiverSection 13.25.
    
    Bar Date for Professionals




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INTRODUCTION
 Plan Debtors
   ARTICLE I.
DEFINITIONS, INTERPRETATION AND EXHIBITS.
 Definitions




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et seq




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provided however




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ad valorem




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Rules of Interpretation




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Exhibits
 ARTICLE II.
CLASSIFICATION OF CLAIMS AND INTERESTS
 Generally
 Unclassified Claims
 Classification of Claims Against and Interests in TLC USA
 Unimpaired Classes




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Impaired Classes Entitled to Vote
   Impaired Classes Deemed to Reject
    Classification of Claims Against and Interests in TLC Canada
 Unimpaired Classes




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Impaired Classes Entitled to Vote
   Impaired Classes Deemed to Reject
   Classification of Claims Against and Interests in TLC MSI
 Unimpaired Classes




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Impaired Classes Deemed to Reject
  Impaired Classes Entitled to Vote
  ARTICLE III.
PROVISIONS FOR TREATMENT OF CLASSES OF
CLAIMS AND INTERESTS
 Satisfaction of Claims and Interests
 Unclassified Claims, Classified Unimpaired and Impaired Claims and
Classified Interests




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Administrative Claims
 Priority Tax Claims




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IRS
 Junior DIP Claims
 Treatment of Claims Against and Interests in TLC USA:
 Class A1: Other Secured Claims
 Class A2: Essential Trade Claims
 Class A3: Other Priority Claims




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Class A4: Prepetition Lender Secured Claims
 Class A5: General Unsecured Claims pro rata provided,
however pro rata
 Class A6: Medical Pending Litigation Claims
 Class A7: Subordinated Claims
 Class A8: Intercompany Claims
 Class A9: TLC USA Common Stock and Interests




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Treatment of Claims Against and Interests in TLC Canada:
 Class B1: Other Secured Claims
 Class B2: Other Priority Claims
 Class B3: Essential Trade Claims
 Class B4: Prepetition Lender Secured Claims




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Class B5: General Unsecured Claims pro rata provided, however pro rata
 Class B6: Medical Pending Litigation Claims
 Class B7: Intercompany Claims
 Class B8: TLC Canada Common Stock and Interests provided however pro rata
 Treatment of Claims Against and Interests in TLC MSI:
 Class C1: Other Secured Claims




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Class C2: Other Priority Claims
 Class C3: General Unsecured Claims
 Class C4: TLC MSI Common Stock and Interests
 Class C5: Prepetition Lender Secured Claims
 Class C6: Intercompany Claims
 Class C7: Medical Pending Litigation Claims




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ARTICLE IV.
ACCEPTANCE OR REJECTION OF THE PLAN; CRAMDOWN
 Acceptance by Impaired Classes of Claims and Interests
 Voting Classes
 Ballot Instructions
 Cramdown




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ARTICLE V.
PROVISIONS GOVERNING DISTRIBUTIONS
UNDER THE PLAN
 Timing of Distributions
 Distributions to Holders of Allowed Claims
 Delivery of Distributions
 Method of Cash Distributions
 Fractional Dollars
 Failure to Negotiate Checks




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Unclaimed Distributions
 Limitation on Distribution Rights
 Compliance With Tax Requirements
 Documentation Necessary to Release Liens




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ARTICLE VI.
EXECUTORY CONTRACTS AND UNEXPIRED LEASES; INDEMNIFICATION
OBLIGATIONS; BENEFIT PROGRAMS
 Treatment of Executory Contracts and Unexpired Leases in rem




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Cure of Defaults for Assumed Contracts and Leases
 Resolution of Objections to Assumption of Executory Contracts and Unexpired
Leases
 Bar Date for Rejection Claims




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Treatment of Rejection Claims
 Executory Contracts and Unexpired Leases Entered Into and Other Obligations
Incurred After the Petition Date
 Modification of Change of Control Provisions
 Reorganized Debtors Indemnification Obligations
 Benefit Programs




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ARTICLE VII.
MEANS FOR IMPLEMENTATION OF THE PLAN
 Corporate Action
 Plan Funding




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Plan Sponsor Agreement
 Articles of Organization
 Operations Between the Confirmation Date and the Effective Date
 Revesting of Assets
 Approval of Agreements
 Adoption or Assumption of Senior Management Contracts
 Adoption of New Management Incentive Plan




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Corporate Structure Changes
 ARTICLE VIII.
PRESERVATION OF CAUSES OF ACTION AND
RIGHT TO DEFEND AND CONTEST
 Preservation of Rights
 Rights of Action
 Setoffs
 No Payment or Distribution Pending Allowance




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Resolution of Disputed Claims
 ARTICLE IX.
CONDITIONS TO CONFIRMATION AND CONSUMMATION OF THE PLAN
 Conditions to Confirmation
       Conditions to Effective Date




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Waiver of Conditions to Confirmation and Consummation
 Effect of Failure or Absence of Waiver of Conditions Precedent to the
Effective Date of the Plan




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ARTICLE X.
OPERATION AND MANAGEMENT OF THE REORGANIZED DEBTORS
 Post-Effective Date Operation of Business
 Post Effective Date Officers and Directors
 ARTICLE XI.
EFFECTS OF CONFIRMATION
 Discharge




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Injunction
 Discharged Claims and Terminated Interests
 Released Claims




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Exculpation
 Releases
 Releases by Debtors provided however provided however




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Releases by Holders of Claims and Interests provided however
 Indemnification




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Other Documents and Actions
 Term of Injunctions or Stays
 Preservation of Insurance
 Guaranties
 Subordination Rights
 No Successor Liability
 ARTICLE XII.
RETENTION OF JURISDICTION
 Exclusive Jurisdiction of Bankruptcy Court




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Failure of Bankruptcy Court to Exercise Jurisdiction
 ARTICLE XIII.
MISCELLANEOUS PROVISIONS
 Binding Effect of Plan
 Withdrawal of the Plan
 Final Order
 Modification of the Plan




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Business Days
 Severability
 Governing Law
 Dissolution of Committee
 Payment of Fees and Expenses of the Junior DIP Agent and Junior DIP
Lenders
 Payment of Statutory Fees




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Post-Confirmation Operating Reports
 Notices
 
  
 Filing of Additional Documents
 Section 1125 of the Bankruptcy Code
 Section 1146 Exemption




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Release of Liens
 Time
 No Attorneys Fees
 No Injunctive Relief
 Non-Voting Equity Securities
 Continued Confidentiality Obligations
 No Admissions or Waivers
 Entire Agreement




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Waiver
 Bar Date for Professionals
 CONFIRMATION REQUEST
   TLC VISION CORPORATION; TLC VISION (USA) CORPORATION;
AND TLC MANAGEMENT SERVICES INC.By:
    /s/ Michael F. GriesTitle:Chief Restructuring Officer