BEUDAMED
    FDA Adverse Event Injury Summary report: N

    LASIK

    MDR report key: 1111792 · Received August 12, 2008

    Report

    Report Number
    MW5007975
    Event Type
    Injury
    Date Received
    August 12, 2008
    Date of Event
    January 11, 2007
    Report Date
    August 12, 2008
    Product Code
    LZS
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    GA, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    RECEIVED LASIK LASER SURGERY ON MY EYE. SINCE THAT TIME, MY EYESIGHT HAS DETERIORATED TERRIBLY AND I HAVE PERMANENT BLURRED AND FOGGY VISION. DIAGNOSIS OR REASON FOR USE: TO IMPROVE EYESIGHT. EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED: NO.

    Devices

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

    Patients

    Seq Age Sex Outcome Treatment
    1 52 YR Required Intervention