BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LASIK

    MDR report key: 1040901 · Received May 9, 2008

    Report

    Report Number
    MW5006819
    Event Type
    Injury
    Date Received
    May 9, 2008
    Date of Event
    March 12, 2005
    Report Date
    May 9, 2008
    Product Code
    LZS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NV, US
    Reporter Occupation
    PATIENT

    Narratives

    Description of Event or Problem · 1

    LASIK : SEVERE DRYNESS, DOUBLE AND TRIPLE VISION, CONSTANT PAIN, EXCESSIVE PURCHASE OF ARTIFICIAL TEARS, NEED TOPOGRAPHY DONE FOR POSSIBLE CORNEAL DAMAGE. DOSE OR AMOUNT: ONE TIME PROCEDURE.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 LASIK LASIK LZS

    Patients

    Seq Age Sex Outcome Treatment
    1 46 YR Required Intervention