| [Translated from      Japanese]  | Exhibit      10.84 |
|---------------------------------------|--------------------|

| 1.  | Amendment      to Article 3.3 of Both OriginalAgreements |
|----------|----------------------------------------------------------|

| 1.1 | Staar      Japan shall distribute the Preset IOL System on an exclusive basis in      Germany and Australia (hereinafter referred to as "Exclusive      Territory"). |
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| 1.2 | Nidek      agrees to supply the Preset IOL System to Staar Japan's agents in Germany.      Nidek shall agree to supply the Preset IOL System to Staar Japan's agents      in Germany for a period of two (2) years beginning in July 2008, during      which Staar Japan's agents in Germany shall not accept supply of the      Preset IOL System from Staar Japan. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| 1.3 | Distribution      of the Preset IOL System by Staar Japan in the Exclusive Territory shall      begin in July 2008, and distribution of the Preset IOL System by Nidek and      Staar Japan in any country or region other than Japan, China and the      Exclusive Territory (hereinafter referred to as "Individual Territory")      shall begin in January 2009. Distribution in the Individual Territory      shall be done at the discretion of each of Nidek and Staar Japan, subject      to the following terms andconditions. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

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| 1.4 | Except      for Germany as designated in Article 1, Paragraph 2 above, each of Nidek      and Staar Japan shall distribute the Preset IOL System under different      names. |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| 1.5 | When      each of Nidek and Staar Japan distributes the Preset IOL System directly      by itself in the Individual Territory, each of them may only do so to one      (1) distributor, save when there is any unavoidable reason not to do so,      in which case the relevant party shall advise of such use of more than one      (1) distributor to the other party inadvance. |
|-----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| 1.6 | "Individual      Territory" means one (1) country, or a territory in which a distributor,      whose territory does not substantially overlap with that of any other      distributor within the same country, carries out distribution, and      "distributor" means agent, affiliate distributor, OEM reseller and similar      distribution channels. |
|-----|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

| Date:      [December 25, 2008]                     |   |   |   |   |
|----------------------------------------------------|--------|--------|--------|--------|
|                                               |   |   |   |   |
| Nidek      Co., Ltd.                               |   |   |   |   |
|                                               |   |   |   |   |
|                                               |   |   |   |   |
| /s/Tsuneo      Matsuhisa                           |   |   |        |   |
| (Name)      Tsuneo Matsuhisa                       |   |   |        |   |
| (Title)      Senior Managing Director              |   |   |   |   |
|                                               |   |   |   |   |
| STAAR      Japan Inc.                              |   |   |   |   |
|                                               |   |   |   |   |
|                                               |   |   |   |   |
| /s/      Isamu Kamijo                              |   |   |   |   |
| (Name)      Isamu Kamijo                           |   |   |   |   |
| (Title)      Representative Director and President |   |   |   |   |

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