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Disaggregation of Revenues, Geographic Sales and Product Sales (Details 2) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 28, 2018
Sep. 29, 2017
Sep. 28, 2018
Sep. 29, 2017
Product Information [Line Items]        
Revenue from Contract with Customer, Including Assessed Tax $ 5,352 $ 5,363 $ 17,900 $ 16,061
Total net sales 31,770 23,473 92,768 65,759
ICLs [Member]        
Product Information [Line Items]        
Revenue from Contract with Customer, Including Assessed Tax 26,418 18,110 74,868 49,698
IOLs [Member]        
Product Information [Line Items]        
Revenue from Contract with Customer, Including Assessed Tax 3,824 3,892 12,068 12,875
Other surgical products [Member]        
Product Information [Line Items]        
Revenue from Contract with Customer, Including Assessed Tax $ 1,528 $ 1,471 $ 5,832 $ 3,186