|   | · | Compensation                plan as attached |
|--------|--------|----------------------------------------------|

|   | · | Bonus                plan as attached |
|--------|--------|---------------------------------------|

|   | · | 4                weeks vacation |
|--------|--------|---------------------------------|

|   | · | Health,                Life and Dental Insurance per our Company Plans |
|--------|--------|------------------------------------------------------------------------|

|   | · | Decision                point at one year about movement from Chicago to St.                Louis |
|--------|--------|---------------------------------------------------------------------------------------------------|

|   | 1) | “Rabbi                Trust”:  |
|--------|----|-------------------------------------------------|

|   | 2) | Change                of Control:                We                will grant you a severance package of 1 year’s salary in the event that                there is a change in control event at Synergetics and Mr. Hank Smith                would                end up in your chain of command. |
|--------|----|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | 3) | Average                % to Objective:                Over the last 12 months, please find attached schedule A. Schedule                A will                give our monthly performance to objective as an overall company. |
|--------|----|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | 4) | Comp                Plan:                Per your suggestion, a factor based on the company’s performance to a GP%                number has been added. Schedule B outlines this change. Please call                me if                you need further explanation. |
|--------|----|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | 5) | St.                Louis:                I                believe that I may need you in St. Louis more at first than you have                proposed. I believe that we have some mission and corporate strategy                work                to do. I therefore propose that attached schedule C as approximate                times                for St. Louis office attendance. Please let me know your thoughts. |
|--------|----|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|

|   | 6) | Our                expense                procedures                are attached as requested. |
|--------|----|------------------------------------------------------------------------------------------------|

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