Investments in Joint Ventures - Investment in S & I Ophthalmic - Additional Information (Detail) (USD $)	1 Months Ended
Oct. 31, 2013	Dec. 31, 2014	Dec. 31, 2013
Schedule Of Investments In Joint Venture [Line Items]
Investment		$ 3,220,000us-gaap_EquityMethodInvestments	$ 6,284,000us-gaap_EquityMethodInvestments
S & I Ophthalmic, LLC
Schedule Of Investments In Joint Venture [Line Items]
Initial capital contribution	5,000,000
Membership interest	50.00%
Investment		$ 3,220,000	$ 4,784,000

The percentage of ownership of common stock or equity participation in the investee accounted for under the equity method of accounting.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 323

-SubTopic 10

-Section 50

-Paragraph 3

-Subparagraph (a)(1)

-URI http://asc.fasb.org/extlink&oid=6382943&loc=d3e33918-111571

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- Definition

This item represents the carrying amount on the entity's balance sheet of its investment in common stock of an equity method investee. This is not an indicator of the fair value of the investment, rather it is the initial cost adjusted for the entity's share of earnings and losses of the investee, adjusted for any distributions (dividends) and other than temporary impairment (OTTI) losses recognized.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 210

-SubTopic 10

-Section S99

-Paragraph 1

-Subparagraph (SX 210.5-02.12)

-URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 323

-SubTopic 10

-Section 45

-Paragraph 1

-URI http://asc.fasb.org/extlink&oid=35755396&loc=d3e33749-111570

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Balance Type:	debit
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- Definition

The cash outflow associated with the investment in or advances to an entity in which the reporting entity shares control of the entity with another party or group.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 230

-SubTopic 10

-Section 45

-Paragraph 13

-Subparagraph (b)

-URI http://asc.fasb.org/extlink&oid=31042434&loc=d3e3213-108585

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