Document:

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                                                                   Exhibit 10.28

                                 FIRST AMENDMENT
                                       TO
                           LOAN AND SECURITY AGREEMENT
                                       AND
                           REAL ESTATE LOAN AGREEMENT

     THIS First Amendment to Loan and Security Agreement and Real Estate Loan
Agreement (collectively, the "First Amendment") is dated as of this 30th day of
May, 2003, by and among COMMERCE BANK, N.A. (the "Lender") and U.S. VISION,
INC., a Delaware corporation ("US Vision"), STYL-RITE OPTICAL MFG. CO., INC., a
Florida corporation ("Styl"), USV OPTICAL, INC., a Texas corporation ("USV"),
and U.S. VISION HOLDINGS, INC., a Delaware corporation ("Holdings" and together
with US Vision, Styl and USV, each individually, a "Borrower" and, collectively,
the "Borrowers"), and 9072-8411 QUEBEC, INC. d/b/a "Optik Pro Baie 2000" ("Optik
Pro"), and HEALTH EYE CARE STATISTICS, INC. ("Health", and together with Optik
Pro, each individually, a "Guarantor" and, collectively, the "Guarantors"; each
Borrower and Guarantor, individually, an "Obligor" and, collectively, the
"Obligors").

                                   BACKGROUND

     The Obligors and the Lender are parties to that certain Loan and Security
Agreement, dated as of October 30, 2002 (said Loan and Security Agreement, as
amended, supplemented, modified and/or restated, being referred to herein as the
"Loan Agreement"). All initially capitalized terms used herein and not otherwise
defined herein shall have the same meaning as ascribed to such terms in the Loan
Agreement.

     US Vision and the Lender are also parties to that certain Loan and Security
Agreement, dated as of September 23, 1999 (said Loan and Security Agreement, as
amended, supplemented, modified and/or restated, being referred to herein as the
"Real Estate Loan Agreement"), and a First Purchase Money Mortgage, Assignment
of Leases, Rents and Other Income and Security Agreement (the "Mortgage", and
together with the Real Estate Loan Agreement, the "Mortgage Documents", and,
together with the Loan Agreement, collectively, the "Loan Documents").

     The Obligors have advised the Lender that pursuant to that certain Stock
Purchase Agreement, dated as of May 30, 2003, by and among US Vision and certain
stockholders of US Vision namely, George E. Norcross, III, an individual, John
C. Norcross, an individual, Donald W. Norcross, an individual, Philip A.
Norcross, an individual, Sandra T. Norcross, an individual, Joseph J. Roberts,
Jr., an individual, Robert Weil, an individual, Susan D. Hudson, an individual,
Indiana Pacific Capital Trust, a New Jersey trust ("IPCT"), and William A.
Schwartz, Jr., an individual (such individuals, together with IPCT, the "Selling
Stockholders") and Palisade Concentrated Equity Partnership, L.P. ("Palisade")
(the "Stock Purchase Agreement"): (i) the Selling Shareholders will sell

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6,349,644 shares of US Vision common stock to Palisade; and (ii) Palisade will
purchase from US Vision 3,894,258 newly issued shares of US Vision common stock
contemporaneously with its purchase of the shares of common stock from the
Selling Stockholders. The Stock Purchase Agreement, the agreements ancillary
thereto, including, but not limited to, the Stockholders' Agreement dated as of
the date hereof, by and among US Vision, George E. Norcross, III, William A.
Schwartz, Jr., Gayle E. Schmidt, George T. Gorman, Carmen J. Nepa, III and
Palisade (the "Stockholders' Agreement"), are herein collectively referred to as
the "Subject Transactional Documents", and the transactions contemplated by the
Subject Transactional Documents are herein collectively referred to as the
"Subject Transactions."

     The Obligors have requested that the Lender: (i) consent to the Subject
Transactions; and (ii) make certain amendments and other modifications to the
Loan Documents, and Lender has agreed to do so, expressly, subject to the terms,
conditions and limitations set forth herein.

     NOW, THEREFORE, in consideration of the mutual covenants and premises set
forth herein, and for other good and valuable consideration, the receipt and
sufficiency of which is hereby mutually acknowledged, the parties hereto,
intending to be legally bound hereby, agree as follows:

     1. Lender's Consents. Provided that all of the conditions precedent with
respect to the effectiveness of this First Amendment are fulfilled to the
reasonable satisfaction of the Lender and that each of the representations and
warranties of the Borrowers set forth herein and in each of the other Loan
Documents, are true and correct in all material respects as of the date hereof,
subject to the provisions set forth below, upon the consummation of the Subject
Transactions pursuant to the Subject Transactional Documents, Lender consents to
the items set forth below, and acknowledges that any Events of Default which
would otherwise occur under the Loan Documents and the Mortgage Documents but
for the granting of such consents, are hereby waived, but only to the extent
necessary to effectuate the Subject Transactions without the incurrence of such
Events of Default.

          1.1 Special Advance. Borrowers shall be deemed to have requested an
Advance under the Line of Credit in accordance with the terms of Paragraph 2.1.3
of the Loan Agreement in the amount of Three Million ($3,000,000) Dollars
contemporaneously with the closing of the Subject Transactions (the "Special
Advance"), notwithstanding the provisions of Paragraph 2.1.1 thereof to the
contrary, the proceeds of which shall prepay Borrower's obligations under the
Term Loan in the amount of the Special Advance. The proceeds of the Special
Advance shall be applied by the Lender against the principal portion of the
Indebtedness under the Term Loan in inverse order of maturity, i.e. applying
such Special Advance payment as a credit against the last installments of
principal then due under the Term Loan.

          1.2 Change in Control. Notwithstanding the provisions of Paragraph
7.1.6 of the Loan Agreement, Section 6(f) of the Real Estate Loan Agreement, and

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Sections 11 and 22(d) of the Mortgage to the contrary, upon the consummation of
the Subject Transactional Documents, Lender consents to:

               1.2.1 The Subject Transactions and the change in beneficial or
legal ownership of the Obligors, including, but not limited to, any change in
the shareholders, or their respective interests, as contemplated by the
consummation of the Subject Transactions; and

               1.2.2 Pursuant to the Stockholders' Agreement, US Vision,
exercising all its rights, and performing all its obligations, to purchase from
George E. Norcross, III, all shares (the "Put and Call Shares") of US Vision's
common stock not sold by George E. Norcross, III to Palisade at the Closing (as
defined in the Stock Purchase Agreement) so long as the aggregate consideration
to be paid by US Vision for the Put and Call Shares does not exceed One Million
Three Hundred Seventy-Nine Thousand Six Hundred Fifty-Eight ($1,379,658) Dollars
and the transactions contemplated by this Paragraph 1.2.2 are otherwise
consummated pursuant to the provisions of either Section 5 or Section 6 of the
Stockholders' Agreement.

          1.3 Loans to Management. Notwithstanding the provisions of Sections
7.1.10 or 7.1.17 of the Loan Agreement to the contrary, upon the consummation of
the Subject Transactions, Lender consents to the extension of credit by US
Vision to William A. Schwartz, Jr., Gayle Schmidt, George Gorman and Carmen Nepa
in an aggregate principal amount not to exceed One Hundred Thousand ($100,000)
Dollars, with each such extension of credit to be evidenced repaid and secured
pursuant to the provisions a Secured Promissory Note substantially in the form
of Exhibit "A" hereto (collectively, the "Management Loans"; and all documents,
instruments and agreements evidencing or securing the management Loans,
collectively, the "Management Debt Instruments"), provided that the Management
Debt Instruments are assigned to the Lender as additional Collateral for the
Obligations pursuant to the provisions of the Assignment of Debt Instruments.

          1.4 NOROB Subordination Agreements. Notwithstanding the provisions of
the respective NOROB Investor Subordination Agreements to the contrary, upon the
consummation of the Subject Transactions and pursuant to Section 1.3(a) of the
Stock Purchase Agreement, Lender consents to the payment in full by US Vision of
the respective NOROB Notes in an aggregate amount not to exceed Three Million
Four Hundred Thousand ($3,400,000) Dollars, provided that upon the payment
thereof all of NOROB Investor Notes are irrevocably cancelled with evidence
thereof delivered to the Lender in form and substance reasonably acceptable to
the Lender.

          1.5 Schwartz Incentive Stock Option Agreement. Notwithstanding the
provisions of the Schwartz Subordination Agreement or Paragraph 7.1.12 of the
Loan Agreement to the contrary, upon the consummation of the Subject
Transactions and pursuant to Section 1.3(b) of the Stock Purchase Agreement,
Lender consents to the payment in full by US Vision of the Option Payment (as
defined in the Stock Purchase Agreement) to William A. Schwartz, Jr., in an
amount not to exceed One Hundred

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Eighty-Six Thousand ($186,000) Dollars, provided that upon the payment thereof
all obligations of any of the Obligors under the Schwartz Incentive Stock Option
Agreement are irrevocably cancelled with evidence thereof delivered to the
Lender in form and substance acceptable to the Lender.

          1.6 Schwartz Sale Bonus. Notwithstanding the provisions of the
Schwartz Subordination Agreement or Paragraphs 7.1.10 and 7.1.12 of the Loan
Agreement to the contrary, upon the consummation of the Subject Transactions,
pursuant to Section 1.3(b) of the Stock Purchase Agreement, Lender consents to
the payment in installments by US Vision to William A. Schwartz, Jr. over a
30-month period, a Sale Bonus (as defined in the Stock Purchase Agreement) in an
amount not to exceed Seven Hundred Fifty Thousand ($750,000) Dollars, provided
that all obligations with respect thereto under the Schwartz Employment
Agreement dated April 2, 1998, as amended by the First Amendment thereto dated
September 23, 2002 (collectively, the "Original Schwartz Employment Agreement"),
are irrevocably cancelled with evidence thereof delivered to the Lender in form
and substance acceptable to the Lender and replaced by those obligations set
forth in Section 1.3(b) of the Stock Purchase Agreement.

          1.7 Legal Fees and Expenses of Selling Shareholders and Palisade.
Notwithstanding the provisions of Paragraphs 7.1.10 and 7.1.12 of the Loan
Agreement to the contrary, upon the consummation of the Subject Transactions,
Lender consents to the payment by US Vision of certain legal fees and expenses
incurred by the Selling Shareholders and Palisade, respectively, in an amount
not to exceed One Hundred Fifty Thousand ($150,000) Dollars in the aggregate.

          1.8 Payment of the Cole Note. Notwithstanding the provisions of the
Cole Subordination Agreement to the contrary, US Vision may pay the Cole Note in
accordance with the terms thereof so long as: (i) no Event of Default or
Potential Event of Default has occurred and is continuing on the date of the
payment of the Cole Note; (ii) but for the restrictions in the Cole
Subordination Agreement, the payment of the Cole Note would not cause the
occurrence of an Event of Default; (iii) no more than Four Million ($4,000,000)
Dollars of principal together with accrued interest thereon is paid in respect
of the Cole Note in consideration of the full and complete satisfaction of the
obligations of any of the Obligors to Cole National in respect of the Cole Note,
with evidence thereof to be delivered to the Lender in form and substance
acceptable to the Lender within ten (10) days of the payment thereof; and (iv)
Palisade shall have contributed no less than Two Million ($2,000,000) of equity
to US Vision in connection with the Subject Transactions, net of all
disbursements contemplated under the Subject Transactional Documents, and prior
to the payment of the Cole Note, either Palisade shall, or shall cause another
investor reasonably acceptable to the Lender to, have contributed to US Vision
no less than an additional Two Million ($2,000,000) Dollars as equity, or as
subordinated debt, which subordinated debt shall be upon such terms and
conditions as are acceptable to the Lender.

     2. Amendments to the Loan Agreement. The Loan Agreement is hereby amended
as follows:

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          2.1 The Loan Agreement is hereby amended by adding the following as
Section 2.2.8 of the Loan Agreement:

          2.2.8 Mandatory Prepayment under the Term Loan. Under the terms of
          that certain Customer Alliance Agreement, dated April 15, 2003, by and
          between US Vision and Bausch & Lomb, Inc. ("B&L" and the "B&L Supply
          Agreement", respectively), B&L provided US Vision with extended
          payment terms with respect to the first Three Million ($3,000,000)
          Dollars of contact lenses purchased by US Vision from B&L under the
          terms of the B&L Supply Agreement (the "B&L Deferred Account
          Payable"). The B&L Deferred Account Payable is subordinated to the
          Indebtedness due to the Lender under the Loan Documents pursuant to
          the provisions of that certain Subordination Agreement dated as of
          April 15, 2003, by and among US Vision, B&L and the Lender (the "B&L
          Subordination Agreement"). In the absence of the provisions of the
          Subordination Agreement and the terms of the B&L Deferred Account
          Payable, all B&L invoices for contact lenses purchased by US Vision
          from B&L under the terms of the B&L Supply Agreement would become due
          and payable by US Vision within sixty (60) days after the date of each
          such invoice. Borrowers shall pay to Lender all underlying invoices of
          the B&L Deferred Account Payable which would have otherwise been due
          to B&L if not for the B&L Deferred Account Payable when and as
          otherwise due, the aggregate amount of such payments not to exceed the
          full amount of the B&L Deferred Account Payable. The B&L Payments
          shall be applied by the Lender against the principal portion of the
          Indebtedness under the Term Loan in inverse order of maturity, i.e.
          applying such B&L Payments as a credit against the last installments
          of principal then due under the Term Loan.

          2.2. The following definitions set forth in Exhibit "A" to the Loan
Agreement are each hereby amended and restated in their respective entirety as
follows:

          "Subordinated Debt" means any Debt of the Obligors subordinated in
          right and time of payment and performance of the Obligations pursuant
          to the provisions of the respective Subordination Agreements,
          including, without limitation, the Debt evidenced by the Cole Note,
          the Schwartz Employment Agreement and Section 1.3(b) of the Stock
          Purchase Agreement, the Stockholders' Agreement, the SOLA Supply
          Agreement, the Moulin Frame Supply Agreement (as defined in the Moulin
          Subordination Agreement), and the B&L Supply Agreement.

          "Subordination Agreements" means, collectively, (i) the Cole
          Subordination Agreement, (ii) the Schwartz Subordination Agreement,
          (iii) the SOLA Subordination Agreement, (iv) the Subordination
          Agreement dated as of January 31, 2003, by and among Borrowers,

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          Lender and Moulin Holdings (H.K.) Co. LTD, and (v) the B&L
          Subordination Agreement.

          2.3 The following definitions are hereby added to the Loan Agreement,
as amended by this First Amendment:

          "Assignment of Debt Instruments" shall mean that certain Assignment of
          Debt Instruments of even date herewith by and among US Vision, William
          A. Schwartz, Jr., Gayle Schmidt, George Gorman, Carmen Nepa and Lender
          in respect of the assignment of the Management Debt Instruments.

          "Management Debt Instruments" shall have the same meaning as ascribed
          to such term in this First Amendment.

     3. Ratification of Loan Documents. Except as expressly provided herein,
each of the terms, conditions and provisions set forth in the respective Loan
Documents are hereby ratified and confirmed herein in full.

     4. Representations and Warranties of the Borrower. Each of the Obligors
represents and warrants to Lender each and all of the following:

          4.1 Each and all of the representations and warranties as set forth in
the Loan Agreement, the Mortgage Documents and the other Loan Documents are
true, correct and complete in all material respects as of the date hereof except
as such representations and warranties expressly relate to a different date. It
is the express intention of the Obligors to hereby ratify, confirm and republish
such representations and warranties as if set forth herein in full;

          4.2 With respect to each of the Obligors none of their respective
articles of incorporation, bylaws or other organizational documents, nor their
respective qualifications to do business have changed in any respect since the
certification thereof was delivered to the Lender on or about October 20, 2002
in connection with the closing under the Loan Agreement and that each is
presently in full force and effect;

          4.3 Each Obligor has full power and authority to execute and deliver
this First Amendment and the Loan Documents, as amended hereby, and this First
Amendment and the other Loan Documents to be executed and delivered in
connection herewith constitute the legal, valid and binding joint and several
obligations of the Obligors parties thereto, enforceable against each of the
Obligors in accordance with their respective terms;

          4.4 No authorization, approval, consent, or other action by, notice
to, or filing with, any Governmental Agency or other Person (other than the
consent of the respective Board of Directors of each Obligor), is required for
the execution, delivery or performance by Obligors of this First Amendment;

          4.5 Subject Transactional Documents.

                                       6

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               4.5.1 Upon the execution of the Subject Transactional Documents
and at the Closing (as defined in the Stock Purchase Agreement), true, correct
and complete copies of each of the Subject Transactional Documents will be
delivered to Lender pursuant to Article 5 hereof, and each will be in full force
and effect in the respective forms thereof as certified and delivered to the
Lender and will not have been terminated or amended nor to the knowledge of any
of the Obligors are any such actions pending or threatened;

               4.5.2 Obligors have the full corporate power and authority to
execute and deliver each of the Subject Transactional Documents and to
consummate all of the Subject Transactions. The execution and delivery by
Obligors of the Subject Transactional Documents and performance by Obligors of
the Subject Transactions have been duly authorized by the Board of Directors of
each of the Obligors and no other corporate action on the part of any Obligor is
necessary to authorize such execution, delivery and performance. Upon the
execution of the Subject Transactional Documents and at the Closing (as defined
in the Stock Purchase Agreement), each Subject Transactional Document will be a
legal, valid and binding obligation of the Obligors which are parties thereto,
enforceable against each such Obligor in accordance with its respective terms,
except to the extent that enforceability may be limited by applicable
bankruptcy, insolvency, moratorium or other similar laws affecting the
enforcement of creditor's rights generally and by the effect of general
principles of equity (regardless of whether enforcement is considered in
proceeding at law or in equity;

               4.5.1 No Obligor has any knowledge of any existing facts or
circumstances that may cause Obligors to be unable to consummate the Subject
Transactions;

          4.6 Legal Compliance.

               4.6.1 Each Obligor has complied with all applicable laws
(including rules, regulations, codes, plans, injunctions, judgments, orders,
decrees, rulings, and charges thereunder) of federal, state, local, and foreign
governments (and all agencies thereof, including, without limitation, the SEC
and all applicable state securities regulatory agencies (each a "Blue Sky
Agency"), and no action, suit, proceeding, hearing, investigation, charge,
complaint, claim, demand, audit, or notice has been filed or commenced, or to
the knowledge of any of the Obligors threatened, against any Obligor, or any of
their respective officers, directors or shareholders, alleging any failure so to
comply. No disciplinary proceeding with respect to any Obligor or any Obligor's
respective officers is pending before the SEC or any Blue Sky Agency. To the
knowledge of the Obligors, there are no facts which, if known by a potential
claimant or Governmental Authority, could give rise to a claim or proceeding
which, if asserted or conducted, the results would be unfavorable to any of the
Obligors, and

               4.6.2 To the knowledge of the Obligors, none of the Subject
Transactional Documents contains an untrue statement of a material fact or omit
to state a

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material fact required to be stated therein or necessary to make the statements
therein, in light of the circumstances under which they were made, not
misleading; and

          4.7 Accuracy of Representations; No Default. The information set forth
herein and on each of the Schedules hereto, and in each of the other Loan
Documents is complete and accurate in all material respects and contains full
and complete disclosure of all pertinent information in connection with
Obligors. None of such information contains any untrue statement of a material
fact or omits to state a material fact necessary to make the information
contained herein or therein not misleading or not incomplete. No Event of
Default or Potential Default hereunder, or under any other Loan Document, has
occurred.

     5. Conditions Precedent to the effectiveness of the Amendments and to
Lender's Consents. As a condition precedent to the effectiveness of this First
Amendment, Obligors shall deliver or cause to be delivered to Lender, executed
where applicable and in form and substance satisfactory to Lender and its
counsel, in addition to this First Amendment, the following documents,
instruments and agreements and the following conditions shall have been
satisfied:

          5.1 The representations and warranties set forth herein and in each of
the other Loan Documents shall be true and correct in all material respects on
and as of the date hereof with the same effect as though made on and as of such
date, except as such representations and warranties relate to a different date;

          5.2 No Event of Default or Potential Default shall have occurred and
be continuing hereunder or under any other Loan Document;

          5.3 No Material Adverse Change shall have occurred since October 30,
2002;

          5.4 As contemplated by Section 1.1 hereof, the Special Advance shall
have been paid to Lender with the proceeds thereof used to reduce the
Indebtedness under the Term Loan in like amount;

          5.5 As contemplated by Section 1.4 hereof, evidence satisfactory to
the Lender that the NOROB Notes have been irrevocably cancelled;

          5.6 As contemplated by Section 1.5 hereof, evidence satisfactory to
the Lender that the Schwartz Incentive Stock Option Agreement are irrevocably
cancelled;

          5.7 As contemplated by Section 1.6 hereof, evidence satisfactory to
the Lender that the obligations with respect to the Sale Bonus under the
Original Schwartz Employment Agreement have been irrevocably cancelled, as the
same may have been replaced by those obligations under Section 1.3(b) of the
Stock Purchase Agreement;

          5.8 As contemplated by Section 2.1 hereof, to the extent that any
portion of the accrued B&L Deferred Account Payable is in excess of sixty (60)
days from

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invoice, such amount shall have been paid and applied as a credit to the
Indebtedness under the Term Loan;

          5.9 The execution and deliver of the Assignment of Debt Instruments,
together with the delivery of the original Management Debt Instruments duly
endorsed in favor of the Lender;

          5.10 Receipt at the Closing (as defined in the Stock Purchase
Agreement) copies of all completely executed Subject Transactional Documents
certified by all parties thereto to the Lender as being true, correct and
complete copies thereof;

          5.11 Confirmation in form and substance acceptable to the Lender that
the Subject Transactions have been consummated, other than those transactions
contemplated by Sections 1.8 and 2.1 hereof;

          5.12 A certificate of the Secretary of each Obligor, certifying to and
attaching true, correct and complete copies of (i) resolutions of such Obligor's
Board of Directors authorizing the execution, delivery and performance of the
transactions contemplated by this First Amendment and the other Loan Documents
contemplated hereby, (ii) resolutions of such Obligor's Board of Directors
authorizing the execution , delivery and performance of the Subject
Transactional Documents and the Subject transaction contemplated thereby, and
(iii) incumbency and signatures of the officers of such Obligor authorized to
execute and deliver the Loan Documents;

          5.13 A certificate executed by each of the Selling Shareholders, in
form and substance satisfactory to the Lender, certifying to the Lender that at
the closing of the Transactions as contemplated by the Transactional Documents
(each as defined in the Loan Agreement, dated as of October 30, 2002), none of
the Selling Shareholders had received or had any knowledge of any offers to
acquire all, or substantially all of, the capital stock or the business of US
Vision, from the Selling Shareholders or US Vision, other than as disclosed in
US Vision's Proxy Statement to its shareholders concerning the approval of the
Transactions;

          5.14 Opinions of all counsel delivered on behalf of any party under
any of the Subject Transactional Documents, addressed to the Lender;

          5.15 An opinion of Sayles, Lidji & Werbner addressed to Lender,
substantially in the form of those delivered in connection with the closing
under the Loan Agreement and contemplating the amendments to the Loan Documents
as contemplated by this First Amendment, in form and substance satisfactory to
Lender in its sole and absolute discretion;

          5.16 Payment of all Lender's Costs in connection with the negotiation,
drafting and closing of the transactions contemplated hereby accrued to the date
of the execution hereof, together with all reasonably anticipated Lender's Costs
to be reasonably incurred in connection with all post closing items. Obligors
authorize Lender

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to deduct such Lender's Costs from the Line and agree to indemnify and hold
Lender harmless from and against any and all claims, other than claims arising
from Lender's willful misconduct or gross negligence, for any such Lender's
Costs; and

          5.17 Obligors will have delivered to Lender such additional documents
or instruments as Lender may reasonably require.

     6. Miscellaneous. Other than Section 9.5, the provisions of Article 9 of
the Loan Agreement are hereby incorporated herein and made a part hereof as if
set forth herein in full, and all references therein to the Loan Agreement shall
be deemed to include the Loan Agreement, as amended by this First Amendment.
This First Amendment may be executed in counterpart and delivered by facsimile,
each of which shall constitute and original and collectively one and the same
agreement.

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     IN WITNESS WHEREOF, intending to be legally bound hereby, Obligors and
Lender have executed this Agreement under seal, intending to be legally bound
hereby, the day and year first above written.

BORROWERS / OBLIGORS:                   GUARANTORS / OBLIGORS:

U.S.VISION, INC.                        9072-8411 QUEBEC,
                                        INC. d/b/a "Optik
                                        Pro Baie 2000"

By: /s/ Carmen J. Nepa III              By: /s/ Carmen J. Nepa III
    ---------------------------------       ------------------------------------
    Carmen J. Nepa III,                     Carmen J. Nepa III,
    Senior Vice President and               Senior Vice President and
    Chief Financial Officer                 Chief Financial Officer

STYL-RITE OPTICAL MFG. CO., INC.        HEALTH EYE CARE
STATISTICS, INC.

By: /s/ William A. Schwartz, Jr.        By: /s/ William A. Schwartz, Jr.
    ----------------------------            ----------------------------
    William A. Schwartz, Jr.,               William A. Schwartz, Jr.,
    President                               President

USV OPTICAL, INC.                       COMMERCE BANK, N.A.

By: /s/ Carmen J. Nepa III              By: /s/ Gerard L. Grady
    ----------------------                  -------------------
    Carmen J. Nepa III,                     Gerard L. Grady,
    Senior Vice President and               Vice President
    Chief Financial Officer

U.S. VISION HOLDINGS, INC.

By: /s/ Carmen J. Nepa III
    ----------------------
    Carmen J. Nepa III,
    Chief Financial Officer

                                       11<PAGE>

                                                                   Exhibit 10.29

                                SECOND AMENDMENT
                                       TO
                           LOAN AND SECURITY AGREEMENT

     THIS Second Amendment to Loan and Security (the "Second Amendment") is
dated as of this 5th day of April, by and among COMMERCE BANK, N.A. (the
"Lender") and U.S. VISION, INC., a Delaware corporation ("US Vision"), STYL-RITE
OPTICAL MFG. CO., INC., a Florida corporation ("Styl"), USV OPTICAL, INC., a
Texas corporation ("USV"), and U.S. VISION HOLDINGS, INC., a Delaware
corporation ("Holdings" and together with US Vision, Styl and USV, each
individually, a "Borrower" and, collectively, the "Borrowers"), and 9072-8411
QUEBEC, INC. d/b/a "Optik Pro Baie 2000" ("Optik Pro"), and HEALTH EYE CARE
STATISTICS, INC. ("Health", and together with Optik Pro, each individually, a
"Guarantor" and, collectively, the "Guarantors"; each Borrower and Guarantor,
individually, an "Obligor" and, collectively, the "Obligors").

                                   BACKGROUND

     The Obligors and the Lender are parties to that certain Loan and Security
Agreement, dated as of October 30, 2002 (the "Initial Loan Agreement"), as
amended by the First Amendment thereto dated as of May 30, 2003 (the "First
Amendment" and together with the Initial Loan Agreement, collectively, the "Loan
Agreement"). All initially capitalized terms used herein and not otherwise
defined herein shall have the same meaning as ascribed to such terms in the Loan
Agreement.

     US Vision and the Lender are also parties to that certain Loan and Security
Agreement, dated as of September 23, 1999 (said Loan and Security Agreement, as
amended, supplemented, modified and/or restated, being referred to herein as the
"Real Estate Loan Agreement"), and a First Purchase Money Mortgage, Assignment
of Leases, Rents and Other Income and Security Agreement (the "Mortgage", and
together with the Real Estate Loan Agreement, collectively, the "Mortgage
Documents", and, together with the Loan Agreement, collectively, the "Loan
Documents").

     The Obligors have requested that the Lender: (i) extend the Line
Termination Date; (ii) amend certain financial covenants as set forth in the
Loan Documents; (iii) seek certain relief from mandatory pre-payment of the Term
Loan from the proceeds of B&L Deferred Account Payable; and (iv) make certain
amendments and other modifications to the Loan Documents, and Lender has agreed
to do so, upon the condition precedent that Palisade Concentrated Equity
Partnership, L.P., make an additional equity contribution to USVision in the
amount of no less than One Million Five Hundred Thousand ($1,500,000) Dollars,
and expressly, subject to such other the terms, conditions and limitations
hereinafter set forth.

<PAGE>

     NOW, THEREFORE, in consideration of the mutual covenants and premises set
forth herein, and for other good and valuable consideration, the receipt and
sufficiency of which is hereby mutually acknowledged, the parties hereto,
intending to be legally bound hereby, agree as follows:

     1. Amendments to the Loan Agreement. Subject to the fulfillment of all of
the conditions precedent to the effectiveness of this Second Amendment, as set
forth in Section 5 hereof, the Loan Agreement is further amended as follows:

          1.1 Amendments to Certain Financial Covenants. Paragraphs 6.1.25.1,
6.1.25.2, 6.1.25.3 and 6.1.25.4 are respectively amended and restated in their
entirety as follows:

          6.1.25.1 Minimum Tangible Net Worth. Maintain a minimum Tangible Net
          Worth, measured as of the last day of each month, of not less than
          Twenty Million Five Hundred Thousand Dollars ($20,500,000) for the
          period beginning on January 31, 2004 and thereafter;

          6.1.25.2 Minimum Current Ratio. Maintain a minimum Current Ratio,
          measured as of the last day of each month, of not less than (i) 1.30
          to 1.00 for the period beginning on January 31, 2003 and ending on
          December 31, 2004; (ii) 1.40 to 1.00 for the period beginning on
          January 31, 2005 and ending on December 31, 2005; and (iii) 1.50 to
          1.00 for the period beginning on January 31, 2006 and thereafter;

          6.1.25.3 Minimum Debt Coverage Ratio. Maintain a minimum Debt Coverage
          Ratio, measured on a rolling twelve-month basis as of the last day of
          each month, of not less than 1.10 to 1.00 for the period beginning on
          January 31, 2005 and thereafter;

          6.1.25.4 Minimum Fixed Charge Coverage Ratio. Maintain a minimum Fixed
          Charge Coverage Ratio, measured on a rolling twelve-month basis as of
          the last day of each month, of not less than 1.00 to 1.00 for the
          period beginning on January 31, 2005 and thereafter;

          1.2 Deletion of Mandatory Prepayment of B&L Deferred Accounts Payable
under the Term Loan. The last two sentences of Paragraph 2.2.8 of the Loan
Agreement as set forth in the First Amendment requiring the Borrowers to prepay
principal under the Term Loan in an amount equal to the proceeds of B&L Deferred
Account Payable are deleted and Borrowers are no longer required to make such
prepayments of principal under the Term Loan.

          1.3 Extension of Line Termination Date. The definition of the Line
Termination Date is hereby amended and restated as follows:

          "Line Termination Date" means (i) October 31, 2005, or as extended

                                        2

<PAGE>

          pursuant to Paragraph 2.1.10 above [sic. the Initial Loan Agreement],
          or (ii) such earlier date as Borrowers shall determine by notice to
          Lender, or (iii) such other date as Lender and Borrowers may, from
          time to time, mutually determine.

     2. Additional Equity Contribution of Palisade. As a condition precedent to
the effectiveness of the amendments set forth in Section 1 of this Second
Amendment, Palisade shall have made an additional equity contribution to
USVision in the amount of no less than One Million Five Hundred Thousand
($1,500,000) Dollars (the "Additional Palisade Equity Contribution") and each of
Palisade and USVision shall deliver to the Lender such confirmation thereof upon
the contribution thereof and from time-to-time thereafter, as may be reasonably
acceptable to the Lender.

     3. Ratification of Loan Documents. Except as expressly provided herein,
each of the terms, conditions and provisions set forth in the respective Loan
Documents are hereby ratified and confirmed herein in full.

     4. Representations and Warranties of the Borrower. Each of the Obligors
represents and warrants to Lender each and all of the following:

          4.1 Each and all of the representations and warranties as set forth in
the Loan Agreement, the Mortgage Documents and the other Loan Documents are
true, correct and complete in all material respects as of the date hereof except
as such representations and warranties expressly relate to a different date. It
is the express intention of the Obligors to hereby ratify, confirm and republish
such representations and warranties as if set forth herein in full;

          4.2 With respect to each of the Obligors none of their respective
articles of incorporation, bylaws or other organizational documents, nor their
respective qualifications to do business have changed in any respect since the
certification thereof was delivered to the Lender on or about October 20, 2002
(except as may have otherwise been amended or modified in connection with the
transactions contemplated by the First Amendment and heretofore delivered to the
Lender) in connection with the closing under the Loan Agreement and that each is
presently in full force and effect;

          4.3 Each Obligor has full power and authority to execute and deliver
this Second Amendment and the other Loan Documents, as amended hereby, and this
Second Amendment and the other Loan Documents to be executed and delivered in
connection herewith constitute the legal, valid and binding joint and several
obligations of the Obligors parties thereto, enforceable against each of the
Obligors in accordance with their respective terms;

          4.4 No authorization, approval, consent, or other action by, notice
to, or filing with, any Governmental Agency or other Person (other than the
consent of the respective Board of Directors of each Obligor), is required for
the execution, delivery or performance by Obligors of this Second Amendment;

                                        3

<PAGE>

          4.5 Each Obligor has complied with all applicable laws (including
rules, regulations, codes, plans, injunctions, judgments, orders, decrees,
rulings, and charges thereunder) of federal, state, local, and foreign
governments (and all agencies thereof, including, without limitation, the SEC
and all applicable state securities regulatory agencies (each a "Blue Sky
Agency"), and no action, suit, proceeding, hearing, investigation, charge,
complaint, claim, demand, audit, or notice has been filed or commenced, or to
the knowledge of any of the Obligors threatened, against any Obligor, or any of
their respective officers, directors or shareholders, alleging any failure so to
comply. No disciplinary proceeding with respect to any Obligor or any Obligor's
respective officers is pending before the SEC or any Blue Sky Agency. To the
knowledge of the Obligors, there are no facts which, if known by a potential
claimant or Governmental Authority, could give rise to a claim or proceeding
which, if asserted or conducted, the results would be unfavorable to any of the
Obligors; and

          4.6 Accuracy of Representations; No Default. Except as set forth
amended and restated Schedules 5.1.5 [Leases] and 5.1.17 [Stock Ownership], each
of which are attached hereto and made a part hereof, and with respect to
Schedule 5.1.6 [Sales Volumes by Location], except as otherwise previously
disclosed to the Lender by Borrowers financial reporting to the Lender, the
information set forth herein and on each of the Schedules hereto, and in each of
the other Loan Documents is complete and accurate in all material respects and
contains full and complete disclosure of all pertinent information in connection
with Obligors. None of such information contains any untrue statement of a
material fact or omits to state a material fact necessary to make the
information contained herein or therein not misleading or not incomplete. No
Event of Default or Potential Default hereunder, or under any other Loan
Document, has occurred.

     5. Conditions Precedent to the effectiveness of the Amendments and to
Lender's Consents. As conditions precedent to the effectiveness of this Second
Amendment, Obligors shall deliver or cause to be delivered to Lender, executed
where applicable and in form and substance satisfactory to Lender and its
counsel, in addition to this Second Amendment, the following documents,
instruments and agreements and the following conditions shall have been
satisfied:

          5.1 The representations and warranties set forth herein and in each of
the other Loan Documents shall be true and correct in all material respects on
and as of the date hereof with the same effect as though made on and as of such
date, except as such representations and warranties relate to a different date;

          5.2 No Event of Default or Potential Default shall have occurred and
be continuing hereunder or under any other Loan Document;

          5.3 No Material Adverse Change shall have occurred since October 31,
2003;

          5.4 Provided that Lender has advised the Borrowers that Lender has
obtained the approvals contemplated by Section 5.7 hereof, and has either
obtained or has waived the requirements set forth in Section 5.8 hereof,
Palisade shall have made the

                                        4

<PAGE>

Additional Palisade Equity Contribution as contemplated by Section 2 hereof, and
each of the USVision and Palisade shall have delivered to the Lender confirming
evidence as may be reasonably acceptable to the Lender;

          5.5 A certificate of the Secretary of each Obligor, certifying to and
attaching true, correct and complete copies of (i) resolutions of such Obligor's
Board of Directors authorizing the execution, delivery and performance of the
transactions contemplated by this Second Amendment and the other Loan Documents
contemplated hereby, and (ii) incumbency and signatures of the officers of such
Obligor authorized to execute and deliver the Loan Documents;

          5.6 Payment of all Lender's Costs in connection with the negotiation,
drafting and closing of the transactions contemplated hereby accrued to the date
of the execution hereof, together with all reasonably anticipated Lender's Costs
to be reasonably incurred in connection with all post closing items. Obligors
authorize Lender to deduct such Lender's Costs from the Line and agree to
indemnify and hold Lender harmless from and against any and all claims, other
than claims arising from Lender's willful misconduct or gross negligence, for
any such Lender's Costs;

          5.7 The Lender shall have obtained such approvals internal and
otherwise, including, but not limited to the Board of Directors of the Lender
and the Lender's holding company; as are required by law, and as the Lender may
otherwise deem necessary or appropriate;

          5.8 Lender shall have obtained the written consent of each of Lender's
participants in the Loans; and

          5.8 Obligors will have delivered to Lender such additional documents
or instruments as Lender may reasonably require.

     6. Miscellaneous. Other than Section 9.5, the provisions of Article 9 of
the Loan Agreement are hereby incorporated herein and made a part hereof as if
set forth herein in full, and all references therein to the Loan Agreement shall
be deemed to include the Loan Agreement, as amended by the First Amendment and
further amended by this Second Amendment. This Second Amendment may be executed
in counterpart and delivered by facsimile, each of which shall constitute and
original and collectively one and the same agreement.

                                        5

<PAGE>

     IN WITNESS WHEREOF, intending to be legally bound hereby, Obligors and
Lender have executed this Agreement under seal, intending to be legally bound
hereby, the day and year first above written.

BORROWERS / OBLIGORS:                   GUARANTORS / OBLIGORS:

U.S. VISION, INC.                       9072-8411 QUEBEC, INC.
                                        d/b/a "Optik Pro Baie 2000"

By: /s/ Carmen J. Nepa III              By: /s/ Carmen J. Nepa III
    ---------------------------------       ------------------------------------
    Carmen J. Nepa III,                     Carmen J. Nepa III,
    Executive Vice President                Executive Vice President
    and Chief Financial Officer             and Chief Financial Officer

STYL-RITE OPTICAL MFG. CO., INC.        HEALTH EYE CARE STATISTICS, INC.

By: /s/ William A. Schwartz, Jr.        By: /s/ William A. Schwartz, Jr.
    ---------------------------------       ------------------------------------
    William A. Schwartz, Jr.,               William A. Schwartz, Jr.,
    President                               President

USV OPTICAL, INC.                       LENDER: COMMERCE BANK, N.A.

By: /s/ Carmen J. Nepa III              By: /s/ Gerard L. Grady
    ---------------------------------       ------------------------------------
    Carmen J. Nepa III,                     Gerard L. Grady,
    Executive Vice President                Vice President
    and Chief Financial Officer

U.S. VISION HOLDINGS, INC.

By: /s/ Carmen J. Nepa III
    ---------------------------------
    Carmen J. Nepa III,
    Chief Financial Officer

                                        6

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