Exhibit 10.22
 AMENDMENT TO  EMPLOYMENT AGREEMENT
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    1.
    
    Effective Date. The Effective Date of this Amendment is April 23, 2009.2.
    
    Definitions. Capitalized terms used, but not otherwise defined in this Amendment, shall have
the same meaning prescribed by the Agreement.3.
    
    Employment of Employee. The first sentence of Section 2 of the Agreement is hereby deleted
in its entirety and replaced with the following text:The Corporation shall employ the Employee, and the Employee shall serve the Corporation in
the position of President and Chief Operating Officer.4.
    
    Salary. The first sentence of Section 5.1 of the Agreement is hereby deleted in its entirety
and replaced with the following text:The Corporation shall pay Employee a salary, less applicable deductions and withholdings, in
respect of each Year of Employment of this Agreement calculated at the rate of Three Hundred
Fifty Thousand and 00/100 Dollars ($350,000.00)per annum (Salary), payable in equal
bi-weekly installments according to the Corporations regular payroll practices.5.
    
    Automobile Allowance. The following text shall be inserted as section 5.3:Automobile Allowance. Corporation shall pay Employee an automobile allowance (Automobile
Allowance) of Seven Hundred and 00/100 Dollars per month, less such deductions or amounts as
may be required to be withheld by applicable law or regulations, payable in accordance with
the payroll policy of the Corporation as from time to time may be in effect. The Automobile
Allowance may be adjusted upward from time to time in the sole discretion of the Board of
Directors of the Corporation, but in any event, the Automobile Allowance shall be increased
annually by a percentage equal to the increase of the Consumer Price Index, all commodities,
as reported by the United States Department of Labor.6.
    
    Stock Options. The following section 5.6 shall be added to the Agreement:5.6 Stock Options. Employee shall be eligible to receive stock option grants in
such amounts and at such intervals as the Board of Directors, or a committee thereof shall
determine in its sole discretion. Any stock option grants provided hereunder shall be
subject to the Corporations Share Option Plan Document and Insiders Trading Policy.7.
    
    Vacation. The first sentence of section 7 of the Agreement is deleted and replaced in its
entirety with the following text:Employee shall be entitled during each Year of Employment to paid time off in accordance
with the Corporations policy.8.
    
    Notice. Corporations address for purposes of Section 17 of the Agreement is hereby amended
as follows:




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To Corporation:
    
    Corporation, Inc.c/o TLC Vision Corporation16305 Swingley Ridge RoadSuite 300Chesterfield, MO 63017Attn: General Counsel
 9.
    
    Integration. Except as provided in this Amendment, the terms of the Agreement shall continue
in full force and effect. In the event of a conflict between the terms of the Amendment and
the Agreement, the terms of this Amendment shall prevail. The Amendment and the Agreement
constitute the entire understanding of the parties, and supersedes any and all prior or
contemporaneous promises, negotiations, representations, understandings or agreements, whether
oral or written, concerning the subject matter hereof. The Agreement shall not be further
modified or amended except by a written document executed by each party.10.
    
    Execution. This Amendment may be executed in counterparts, each of which shall be deemed to
be an original, and all of such counterparts shall together constitute one and the same
Amendment. Execution and delivery of this Amendment by delivery of a facsimile or electronically recorded copy (including a .pdf file) bearing a
copy of the signature of a party shall constitute a valid and binding execution and delivery
of this Amendment by such party. Such copies shall constitute enforceable original
documents.IN WITNESS WHEREOF, the parties have executed this Amendment as the date first above written.
 TLC VISION CORPORATION
    
    
    
    JAMES B. TIFFANYBy:
    
    /s/ Charles Judy
    
    
    
    /s/ James B. TiffanyTitle: SVP, Shared Services & Corporate Secretary