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Disaggregation of Revenues, Geographic Sales and Product Sales (Details 2) - USD ($)
$ in Thousands
3 Months Ended
Mar. 30, 2018
Mar. 31, 2017
Product Information [Line Items]    
Sales Revenue, Goods, Net $ 5,935 $ 5,079
Net sales 27,093 20,350
ICLs [Member]    
Product Information [Line Items]    
Sales Revenue, Goods, Net 21,158 15,271
IOLs [Member]    
Product Information [Line Items]    
Sales Revenue, Goods, Net 4,058 4,606
Other surgical products [Member]    
Product Information [Line Items]    
Sales Revenue, Goods, Net $ 1,877 $ 473