FDA Adverse Event Other Summary report: N

ACRYSOF

MDR report key: 1821636 · Received August 25, 2010

Report

Report Number
1119421-2010-00927
Event Type
Other
Date Received
August 25, 2010
Date of Event
November 1, 2008
Report Date
July 26, 2010
Manufacturer
ALCON RESEARCH, LTD./HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
JA
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS, THE DEVICE REMAINS IMPLANTED. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ADDITIONAL INFO HAS BEEN REQUESTED. (B)(4).

Description of Event or Problem · 1

ADVERSE EVENT(S): "VA DECREASED, FILMY VISION" (VISION, IMPAIRED). PRODUCT PROBLEM(S): "GLISTENINGS" (NO CODE AVAILABLE [IOL (INTRAOCULAR LENS) IMPLANT]). A SURGEON REPORTED A PT EXPERIENCING DECREASED VISUAL ACUITY SINCE BILATERAL INTRAOCULAR LENS (IOL) IMPLANT SURGERY. THE IOL FOR THE RIGHT EYE WAS IMPLANTED APPROXIMATELY 11 YEARS AGO. THE SURGEON REPORTED THAT AFTER LENS INSERTION, VISUAL ACUITY WAS 1.2. (APPROX 20/15). IN 2008, THE PT EXPERIENCED HAZY VISION AND A DECREASE IN VISUAL ACUITY TO 0.5 (20/40). IN 2009, THE SURGEON REPORTED NOTING FURTHER DECREASE IN VISUAL ACUITY TO 0.3 (20/60). THE PT WAS THEN REFERRED TO ANOTHER SURGEON WHO PERFORMED RETINAL EVALUATIONS AND NO PROBLEM WAS OBSERVED. THE SURGEON SURMISED THAT GLISTENINGS COULD BE THE POSSIBLE CAUSE FOR THE DECREASING VISION. ADDITIONAL INFO HAS BEEN REQUESTED. THERE ARE TWO MEDICAL DEVICE REPORTS ASSOCIATED WITH THIS EVENT. THIS REPORT IS FOR THE RIGHT EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH, LTD./HUNTINGTON MA60BM 491910

Patients

Seq Age Sex Outcome Treatment
1 49 YR Other