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Exhibit 10.6.1    
    

 
 

REFOCUS GROUP, INC.
  
    SECOND AMENDMENT TO COX EMPLOYMENT AGREEMENT    
    

        This Second Amendment to that certain Employment Agreement between Refocus Ocular, Inc. and Mark A. Cox dated April 24, 1998 (the "Employment
Agreement"), as previously amended as of December 1, 2002, is made and entered into as of March 18, 2004, by and between Refocus Group, Inc., a Delaware corporation (the
"Company"), and MARK A. COX (the "Executive") (this "Second Amendment"). 

RECITALS

        The
Company is conducting a Securities Offering whereby the Executive's continued services are of key importance to the Company. 

        NOW,
THEREFORE, The Company and the Executive hereby agree to amend the Employment Agreement on the terms and conditions hereinafter set forth. 

	1.
	PROVISIONS: 

        (a)   A
new Section 3 (f) is hereby inserted immediately following Section 3 (e) as follows: 

"For
the purposes of this subsection 3(f), "Closing" shall mean a transaction or transactions whereby the Company closes the sale of Securities (as
herein defined) in an offering or offerings subsequent to the date of this Second Amendment, and "Securities" shall mean common stock and the number of shares of common stock issuable under warrants
and convertible securities sold. The Executive shall be entitled to be awarded, immediately subsequent to each Closing, options to purchase shares of the common stock of the Company ("Options") in an
aggregate amount equal to 1.5% (one and one-half percent) of the number of Securities sold in each Closing until and to the extent that such Closings result in the receipt of gross
proceeds to the Company in the aggregate amount of six million fifty thousand dollars ($6,050,000), said aggregate amount excluding consideration for gross proceeds to the Company received from the
exercise of the associated warrants. The exercise price of such Options shall be at the higher of $0.60 per share or the actual price per share of common stock sold in each Closing. The Options shall
vest one-third on the date of each Closing and an additional one-third on the next two anniversary dates of each Closing. The term of the Option shall be five years and the
vested portion of the Option shall remain exercisable for one year after the termination of the Executive's employment for other than cause, death or disability. All other terms of the Option shall be
as specified in the Refocus Group, Inc. Amended and Restated 1997 Stock Option Plan" 

	2.
	MISCELLANEOUS:

        (a)   This
Second Amendment shall be governed by and construed and interpreted in accordance with the laws of the State of Texas. 

        (b)   This
Second Amendment may be executed in one or more counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and
the same Amendment. 

        (c)   Except
as expressly provided in this Second Amendment, all other terms and conditions of the Agreement shall remain in full force and effect. In the event of any
conflict between the terms of the Agreement and this Second Amendment, the terms of this Second Amendment shall control. 

 

        IN
WITNESS WHEREOF, the parties have executed this Second Amendment effective on the date and year first above written. 

	EXECUTIVE	 	REFOCUS GROUP, INC.
	

By:	

/s/  MARK A. COX      
 Mark A. Cox	
 	

/s/  TERRY A. WALTS      
 Terry A. Walts

President & Chief Executive Officer

2

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Exhibit 10.6.1

REFOCUS GROUP, INC. SECOND AMENDMENT TO COX EMPLOYMENT AGREEMENTQuickLinks
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Exhibit 10.8.1    
    

 
 

REFOCUS GROUP, INC.
  
  FIRST AMENDMENT TO WALTS EMPLOYMENT AGREEMENT    
    

        This Amendment to that certain Employment Agreement between Refocus Group, Inc. and Terence A. Walts dated September 5, 2002 (the "Employment
Agreement") is made and entered into as of May 29, 2003, by and between Refocus Group, Inc., a Delaware corporation (the "Company"), and Terence A. Walts (the "Executive") (this
"Amendment"). 

RECITALS 

The
Company is conducting a variety of matters including planning for the FDA clinical trials and arrangements to fund such trials whereby the Executive's continued services are of key importance to
the Company. 

        NOW,
THEREFORE, The Company and the Executive hereby agree to amend the Employment Agreement on the terms and conditions hereinafter set forth. 

	1.
	PROVISIONS: 

        (a)   Section 2
(a) is hereby deleted and replaced in its entirety by the following; 

        "The
Executive agrees to serve as President and Chief Executive Officer of the Company, with all duties and authority necessary or appropriate to carry out properly the responsibilities
of such position, as instructed from time to time by the Company's Board of Directors. During the Period of
Employment, the Executive will devote his full working time and use his best efforts to advance the business and welfare of the Company. During the Period of Employment, the Executive shall not engage
in any other employment activities (which, subject to other restrictions contained herein, shall not include solely passive investments), or serve as a director of any other entity, for any direct or
indirect remuneration without the prior written consent of the Company; provided, however, that the Executive shall be permitted to continue to serve as a director of and/or a consultant to (but not
an employee of) Oncose, Inc. so long as the Executive devotes no more than immaterial amounts of his time to Oncose-related matters and such matters do not interfere with the Executive's
responsibilities to the Company, including but not limited to his attendance at all "road show" and related functions." 

        (b)   Section 7.1
(b) is hereby deleted and replaced in its entirety by the following; 

        "In
the event that Executive's employment is terminated under Section 6.1(b) or (d) hereof, the Period of Employment shall expire as of the Date of Termination and the
Executive shall be entitled to monthly severance payments in the amount of Employee's current annualized salary (excluding any bonus or other compensation) as of the Date of Termination, divided by
twelve (12), for a period of twelve (12) months." 

        (c)   Section 7.1
(c) is hereby deleted in its entirety. 

        (d)   Sections
7.1 (d) and (e) shall become Sections 7.1 (c) and (d), respectively. 

        (e)   The
reference in Section 7.1 (e) (ii) to "Section 7.1 (b) and (c)" shall be deemed to be a reference to Section 7.1 (b) only. 

	2.
	MISCELLANEOUS:

        (a)   This
Amendment shall be governed by and construed and interpreted in accordance with the laws of the State of Texas. 

        (b)   This
Amendment may be executed in one or more counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and the same
Amendment. 

 

        (c)   Except
as expressly provided in this Amendment, all other terms and conditions of the Agreement shall remain in full force and effect. In the event of any conflict
between the terms of the Agreement and this Amendment, the terms of this Amendment shall control. 

        IN
WITNESS WHEREOF, the parties have executed this Amendment effective on the date and year first above written. 

	EXECUTIVE	 	Refocus Group, Inc.
	

By:	
 	

/s/ Terence A. Walts
	
 	

/s/ Mark A. Cox

	 	 	Terence A. Walts	 	Mark A. Cox

Vice President & Chief Financial Officer

2

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Exhibit 10.8.1

REFOCUS GROUP, INC. FIRST AMENDMENT TO WALTS EMPLOYMENT AGREEMENTQuickLinks
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Exhibit 10.8.2    
    

 
 

REFOCUS GROUP, INC.
  
    SECOND AMENDMENT TO WALTS EMPLOYMENT AGREEMENT    
    

        This Second Amendment to that certain Employment Agreement between Refocus Group, Inc. and Terence A. Walts dated September 5, 2002 (the "Employment
Agreement"), as amended May 29, 2003, is made and entered into as of March 18, 2003, by and between Refocus Group, Inc., a Delaware corporation (the "Company"), and Terence A.
Walts (the "Executive") (this "Second Amendment"). 

RECITALS 

        The
Company is conducting a Securities Offering whereby the Executive's continued services are of key importance to the Company. 

        NOW,
THEREFORE, The Company and the Executive hereby agree to amend the Employment Agreement on the terms and conditions hereinafter set forth. 

	1.
	PROVISIONS: 

        (a)   A
new Section 4 (c) is hereby inserted immediately following Section 4 (b) as follows: 

"For
the purposes of this subsection 4(c), "Closing" shall mean a transaction or transactions whereby the Company closes the sale of Securities (as
herein defined) in an offering or offerings subsequent to
the date of this Second Amendment, and "Securities" shall mean common stock and the number of shares of common stock issuable under warrants and convertible securities sold. The Executive shall be
entitled to be awarded, immediately subsequent to each Closing, options to purchase shares of the common stock of the Company ("Options") in an aggregate amount equal to 2.0% (two percent) of the
number of Securities sold in each Closing until and to the extent that such Closings result in the receipt of gross proceeds to the Company in the aggregate amount of six million fifty thousand
dollars ($6,050,000), said aggregate amount excluding consideration for gross proceeds to the Company received from the exercise of the associated warrants. The exercise price of such Options shall be
at the higher of $0.60 per share or the actual price per share of common stock sold in each Closing. The Options shall vest one-third on the date of each Closing and an additional
one-third on the next two anniversary dates of each Closing. The term of the Option shall be five years and the vested portion of the Option shall remain exercisable for one year after the
termination of the Executive's employment for other than cause, death or disability. All other terms of the Option shall be as specified in the Refocus Group, Inc. Amended and Restated 1997
Stock Option Plan" 

	2.
	MISCELLANEOUS:

        (a)   This
Second Amendment shall be governed by and construed and interpreted in accordance with the laws of the State of Texas. 

        (b)   This
Second Amendment may be executed in one or more counterparts, each of which shall be deemed an original, but all of which taken together shall constitute one and
the same Amendment. 

        (c)   Except
as expressly provided in this Second Amendment, all other terms and conditions of the Agreement shall remain in full force and effect. In the event of any
conflict between the terms of the Agreement and this Second Amendment, the terms of this Second Amendment shall control. 

 

        IN
WITNESS WHEREOF, the parties have executed this Second Amendment effective on the date and year first above written. 

	EXECUTIVE	 	Refocus Group, Inc.
	

By:	

/s/  TERENCE A. WALTS      
 Terence A. Walts	
 	

/s/  MARK A. COX      
 Mark A. Cox

Vice President & Chief Financial Officer

2

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Exhibit 10.8.2

REFOCUS GROUP, INC. SECOND AMENDMENT TO WALTS EMPLOYMENT AGREEMENT

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