Exhibit 10.1

                                 AMENDMENT No. 1
                                       to
                         DEVELOPMENT & LICENSE AGREEMENT


        This Amendment No. 1 to Development & License Agreement (this
"Amendment"), dated September 16, 1999 is entered into by and among OPTEX
OPHTHALMOLOGICS, INC. ("Optex") and BAUSCH & LOMB SURGICAL, INC. ("B&L").


                                 R E C I T A L S

        WHEREAS,  Optex and B&L are parties to a Development & License Agreement
entered into on May 14, 1998 (the "Development Agreement") pursuant to which the
Parties   reached   agreement    relating   to   the   joint   development   and
commercialization by B&L of the Catarex Products on a worldwide basis; and

        WHEREAS,  the  Parties  desire to amend  the  Development  Agreement  in
accordance with the terms of this Amendment.

        NOW, THEREFORE,  in consideration of the promises,  mutual covenants and
agreements  set  forth  in this  Amendment,  and for  other  good  and  valuable
consideration,  the  sufficiency  of which is hereby  acknowledged,  the Parties
agree as follows:

        1.  Capitalized  terms used herein,  and not otherwise  defined  herein,
shall have the respective meanings specified in the Development Agreement.

        2. Section 1 of the Development Agreement is amended as follows:

(1)     by adding at the end of Section 1.5 the words "not specially sized for
        use with the Catarex Unit";

(2)     by deleting Section 1.6 in its entirety, and substituting in lieu
        thereof the following:

               1.6  "Catarex Consumable" means any single-use disposable or
        reusable component used in the operation of the Catarex Unit, which
        components include, based upon the Catarex Unit as currently configured,
        (1) the Catarex Handpiece, (2) the concentrix cartridge, (3) the
        concentrix collection bag, (4) the irrigation and aspiration tube set,
        (5) the Catarex Handpiece tube set, (6) the capsulotomy sizing probe,
        (7) the capsulorhexis probe, (8) the Catarex hydrodissection needle, (9)
        the bottle or pouch of sterile balanced salt solution, and (10) any
        surgical knife specially sized for use with the Catarex Unit.

               1.7  "Catarex Handpiece" means a single-use, disposable, cataract
        vortex emulsification device incorporating a high-speed rotary
        impeller-based fragmenter



        using integrated  irrigation  aspiration,  the current  configuration of
        which device is represented by Optex part number 50022 Revision A.

(3)     by renumbering Sections 1.7 through 1.10 as Sections 1.8 through 1.11;

(4)     by deleting Section 1.11 in its entirety, and substituting in lieu
        thereof the following:

               1.12  "Catarex  Product"  means the  Catarex  Unit,  any  Catarex
        Combination  Product,  any Catarex  Consumable,  the Catarex  Standalone
        Unit,  the  Catarex/Millennium  Unit,  the Catarex  Module,  any Catarex
        Plugin, and any other product the manufacture, use, importation, or sale
        of which would infringe Optex
        Patents.

(5)     by renumbering Sections 1.12 and 1.13 as Sections 1.13 and 1.14;

(6)     by deleting Section 1.14; and

(7)     by adding the following sentence at the end of Section 1.24: "Optex
        Critical Technology includes the Catarex Handpiece."

        3.  Sections  4.4, 4.5 and 4.6 of the  Development  Agreement are hereby
amended by deleting them in their entirety, and substituting in lieu thereof the
following:

               4.4    Responsibilities of Optex.

                      4.4.1  Optex has the following responsibilities:

        (1)    Optex shall  deliver to B&L as soon as  reasonably  possible  the
               items  listed  in  Schedule  4.4.1(1),  which may be  amended  by
               agreement  of Optex and B&L (the  delivery of these items and the
               work involved in preparing them is referred to as "Phase O");

        (2)    by the date 10 months  from the date of  Amendment  No. 1 to this
               Agreement,  Optex shall  produce and deliver to B&L 2,400 Catarex
               Handpieces  that  conform  to the  specifications  then in effect
               (this obligation is referred to as "Phase I");

        (3)    by the date 18 months  from the date of  Amendment  No. 1 to this
               Agreement,  Optex shall produce and deliver to B&L 20,000 Catarex
               Handpieces (this obligation is referred to as "Phase II"); and

        (4)    Optex  shall  from the date of this  Agreement  provide  B&L with
               reasonable  cooperation,  assistance,  consultation  and support,
               including the services listed in Schedule 4.4.1(4), in connection
               with development of  manufacturing  processes for scale-up of the
               manufacture of Catarex Handpieces (these
               services, the "Manufacturing Services").

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                      4.4.2  Optex shall make the Phase I and Phase II
        deliveries of Catarex Handpieces F.O.B. any B&L facility designated by
        B&L (the "F.O.B. Point"), and Optex bears all risk of loss or damage to
        the Catarex Handpieces from any cause whatsoever until delivery to B&L
        at the F.O.B. Point.

                      4.4.3  During Phase I, Optex and B&L shall agree in
        writing upon the specifications for the Catarex Handpiece, which must
        thereafter be modified to reflect changes in design of the Catarex
        Handpiece. Catarex Handpieces that Optex delivers to B&L must comply
        with those specifications. Subject to Section 4.4.4, if B&L determines
        that any of those Catarex Handpieces do not conform to those
        specifications and within 30 days of delivery to B&L of any Catarex
        Handpieces B&L notifies Optex in writing that it has so determined and
        returns to Optex those non-conforming Catarex Handpieces, Optex shall
        replace those non-conforming Catarex Handpieces. Subject to Section
        4.4.4, if thereafter B&L determines that any Catarex Handpieces have a
        latent defect that could reasonably cause those Catarex Handpieces to
        not conform to the specifications in effect at the time of delivery, and
        notifies Optex in writing that it has so determined, Optex shall replace
        those defective Catarex Handpieces.

                      4.4.4  If  within  15 days of a  notice  from B&L that any
        Catarex  Handpieces  do not conform to  specifications  or are defective
        Optex does not notify B&L that it  disagrees  with B&L's  determination,
        B&L's  determination  shall apply. In the event Optex does timely notify
        B&L that it disagrees with B&L's  determination,  Optex and B&L shall in
        good faith attempt to resolve their differences.  In the event Optex and
        B&L are  unable to resolve  their  differences,  they  shall  submit the
        dispute  to  an  independent  expert  selected  jointly  by  them  whose
        conclusion  regarding  the  validity  of  B&L's  determination  will  be
        conclusive and binding on both Optex and B&L. In the event Optex and B&L
        cannot  agree on an  independent  expert,  they shall each  appoint  one
        independent   expert  and  the  two  appointees   must  select  a  third
        independent  expert,  whose  conclusion  regarding the validity of B&L's
        determination  will be conclusive and binding on both Optex and B&L. B&L
        and Optex shall each pay the fees and expenses of any independent expert
        appointed by them,  and shall share equally the fees and expenses of any
        independent  expert selected  jointly by them or by independent  experts
        appointed by each of them, as the case may be.

                      4.4.5  Optex  shall  construct  at its  expense a suitable
        environmentally-controlled  room at Optex's facility for the Phase I and
        Phase II production of Catarex  Handpieces,  and during normal  business
        hours and upon  reasonable  advance notice in writing shall from time to
        time grant B&L employees access to that room for training purposes.

                      4.4.6  Optex shall design and produce all prototype and
        production tooling and molds necessary to satisfy its obligations under
        Section 4.4.1. Subject to Section 8.3.2, Optex hereby transfers to B&L
        all right, title and interest in and to that tooling and those molds as
        and when developed by Optex, and shall deliver that tooling and those
        molds to B&L upon the reasonable request of B&L. Optex may at

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        its cost manufacture and retain for its use in connection with the Optex
        Field one or more duplicate sets of that tooling and those molds.

               4.5    Responsibilities of B&L.

                      4.5.1 B&L shall use commercially  reasonable efforts to do
        the following as expeditiously as practicable:

        (1)    develop all elements of Catarex  Products  other than those to be
               developed by Optex pursuant to Section 4.4;

        (2)    obtain regulatory approval of Catarex Products in the Key Markets
               and China, India, Brazil and Indonesia; and

        (3)    manufacture and market Catarex Products in the Key Markets.

               4.6    Funding.

                      4.6.1 B&L  shall  as  follows   pay  Optex  for   Optex's
        performance of its responsibilities under Section 4.4:

        (1)    B&L shall  reimburse  Optex for all costs it incurs in connection
               with Phase O, up to a maximum of $2,500,000;

        (2)    B&L  shall  pay  Optex an  amount  equal to 125% of all  costs it
               incurs  in  connection  with  Phases  I and II and  Manufacturing
               Services it performs  during  Phases I and II until the aggregate
               amount of those  costs  equals  $6,400,000,  and shall  reimburse
               Optex for all such costs it incurs in excess of $6,400,000; and

        (3)    B&L shall  pay  Optex an  amount  equal to all costs it incurs in
               connection   with   Manufacturing   Services  it  performs  after
               completion of Phase II.

                      4.6.2 For  purposes  of Section  4.6.1,  "costs"  include,
        without limitation,  costs relating to labor,  professional services and
        materials.

                      4.6.3 The procedures to be followed in connection with the
        payments required by Section 4.6.1 are as follows.  Within 30 days after
        the end of each calendar  month,  Optex shall provide B&L with a written
        report  of all  costs  incurred  by it  during  that  calendar  month in
        performing  its  responsibilities  under  Section  4.4,  as  well as any
        supporting  documentation  B&L reasonably  requests.  B&L shall promptly
        thereafter  make any payment  required by Section  4.6.1 with respect to
        those  costs,  unless  it  wishes  to  dispute  any  statement  of costs
        contained in Optex's written  report,  in which case Optex and B&L shall
        promptly  cause the Joint  Review  Committee  to consider and attempt to
        resolve the dispute.

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                      4.6.4 If at any time Optex anticipates that performance of
        its obligations  under clauses (2) and (3) of Section 4.4.1 will require
        that it incur costs  (excluding  the 25% Optex  profit  component)  that
        exceed $7,040,000 or $1,760,000,  respectively,  Optex shall immediately
        notify B&L and B&L will have the  option to have B&L  rather  than Optex
        perform all or part of the work that would cause any such excess  costs.
        Optex may not incur any such  excess  costs  without  the prior  written
        consent of B&L, which shall not unreasonably withhold.

        4. Sections 4.7 of the  Development  Agreement is hereby  deleted in its
entirety.

        5. Sections 8.1 and 8.2 of the Development  Agreement are hereby amended
by  deleting  them in their  entirety,  and  substituting  in lieu  thereof  the
following:

               8.1  Termination.  This Agreement  shall remain in full force and
        effect  from the  Effective  Date  until the  expiration  of the last to
        expire U.S.  Optex  Patent on Exhibit B, unless  earlier  terminated  as
        follows (such termination an "Early Termination"):

                      8.1.1  by written agreement of Optex and B&L;

                      8.1.2  by B&L at any time upon six months' written notice;

                      8.1.3  by either Party, if B&L declares the Clinical
        Demonstration to be a complete failure;

                      8.1.4  by B&L, if B&L declares the Clinical Demonstration
        to be a partial success; provided, however that B&L shall have the
        option upon such determination to request good faith negotiations toward
        an appropriate amendment to this Agreement, in which case the Parties
        shall in good faith attempt to negotiate an amendment to this Agreement;
        provided, further, however, that if, after six months from the date of
        such request for negotiations, the Parties have been unable to reach
        agreement on the terms of an amendment to this Agreement, either Party
        may terminate this Agreement; or

                      8.1.5  by either party upon breach by the other party of
        any material provision of this Agreement which remains uncured 60 days
        after written notice of that breach.

               8.2    Effect of Early Termination.  Upon Early Termination, the
        following applies:

                      8.2.1  B&L shall return to Optex all data generated by
        Optex under this Agreement, and shall also transfer to Optex all FDA and
        other regulatory approvals and submissions and any data necessary or
        useful for purposes of applying for and securing regulatory approvals of
        the Catarex Handpiece, on condition that

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        Optex reimburse B&L for any reasonable  out-of-pocket  costs  reasonably
        incurred by B&L in obtaining or preparing those  approvals,  submissions
        and data.

                      8.2.2  B&L may only use for  non-infringing  purposes  any
        tooling and molds used by Optex in Phase I or Phase II and  delivered to
        B&L pursuant to Section 4.4.6.

                      8.2.3  All  intellectual   property,   including   without
        limitation developmental  improvements,  that is specific to the Catarex
        Unit but are not  specific to the  Millennium(TM)  system will become or
        will remain, as the case may be, the property of Optex.

                      8.2.4  Optex  shall  grant B&L a  fully-paid  nonexclusive
        license to Know-how.

                      8.2.5  To the extent necessary to allow Optex and Optex
        licensees to commercialize Catarex Products, B&L shall grant to Optex a
        worldwide sub-licensable license to B&L Patents, B&L Inventions and
        Know-how containing a royalty provision that reasonably compensates B&L
        for its expenses in developing the technologies granted back to Optex,
        as well as taking into consideration the royalties paid or to have been
        paid by B&L to Optex for the technology licensed by Optex to B&L.

               8.3  Non-U.S.Patents.  Upon  termination of this Agreement  other
        than  as a  result  of  Early  Termination,  Optex  shall  grant  B&L  a
        fully-paid nonexclusive license to any non-U.S. Optex Patents.

               8.4  Survival.  Sections  9.1  (Confidentiality),  12.2  (General
        Indemnification)  and 12.3 (Patent  Indemnification)  of this  Agreement
        shall survive termination of this Agreement.

        6. Section 11.1 of the Development Agreement is hereby amended by adding
at the end thereof the following:

        Upon the  request  of  Optex,  B&L  shall  grant  to Optex a  permanent,
        exclusive license to use, on a royalty-free  basis, the Catarex name and
        any  associated  trademark  rights in  connection  with sale by Optex of
        Catarex Products in the Optex Field.

        7. Section 12.3 of the Development Agreement is hereby amended by adding
at the end the following:

                      12.3.3 If prior to  payment of  Milestones  II and III B&L
        and Optex agree that the Catarex  Handpiece  infringes  any  third-party
        intellectual  property rights,  B&L may suspend payment of Milestones II
        and III until the earlier of (1) First  Commercial  Use and (2) Optex or
        B&L obtains a license to those third-party intellectual property rights.

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        8. Except as expressly  provided for in this Amendment,  the Development
Agreement shall remain in full force and effect.

        IN WITNESS  WHEREOF,  the  Parties  have  caused  this  Amendment  to be
executed by the duly  authorized  representatives  as of the date and year first
above written.


OPTEX OPHTHALMOLOGICS, INC.                   BAUSCH & LOMB SURGICAL, INC.


By:______________________________             By:____________________________


Name:____________________________             Name:__________________________


Title:___________________________             Title:_________________________

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                                                             Schedule 4.4.1(1)

                                  PHASE 0 ITEMS

                                                                 Status
                                                                 ------

I.      DESIGN DOCUMENTS

        2-D Component Drawings                                   Delivered

        3-D Component Drawings                                   Delivered

        Assembly Drawings                                        Delivered

        Bill of Materials                                        Delivered


II.     MANUFACTURABILITY

        Work Instructions                                        Delivered

        Assembly Fixture Drawings                                Delivered

        Manufacturing Aid Specifications                         Delivered


III.    DEVELOPMENT HANDPIECES

        10 Handpieces                                            Delivered

        70 Handpieces
        (B&L Will Participate in Assembly)


IV.     DESIGN VERIFICATION

        Test Reports


V.      QUALITY SYSTEMS

        First Article Inspection Data
        (All dimensions; n=1; Fabricated Parts)

VI.     JOINT DESIGN REVIEW                                      Delivered



                                                              Schedule 4.4.1(4)

                             MANUFACTURING SERVICES


Complete development and implementation of fixturing and automation needed to
support Phase I build at Optex

Complete transfer to B&L of duplicate fixtures and test stations utilized for
Phase I production

Complete development and implementation of fixturing and automation needed to
support Phase II build at Optex

Complete transfer to B&L of duplicate fixtures and test stations utilized for
Phase II production

Complete engineering design development support for B&L automation scale-up to
10,000 units/month

Complete engineering design development support for B&L automation scale-up to
20,000 units/month

Complete engineering design development support for B&L automation scale-up
beyond 20,000 units/month