FDA Adverse Event Injury Summary report: N

VISUMAX

MDR report key: 19703854 · Received July 9, 2024

Report

Report Number
9615030-2024-00013
Event Type
Injury
Date Received
July 9, 2024
Date of Event
January 11, 2024
Report Date
July 9, 2024
Manufacturer
CARL ZEISS MEDITEC AG (JENA)
Product Code
OTL
PMA / PMN Number
P150040
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
US
Reporter Occupation
003

Narratives

Additional Manufacturer Narrative · 0

THE VOLUNTARY REPORT DOES NOT IDENTIFY THE NAME OR THE CONTACT INFORMATION OF THE PATIENT OR THE DOCTOR. THEREFORE, THE RESPECTIVE DEVICE COULD NOT BE IDENTIFIED OR INVESTIGATED AND A ROOT CAUSE EVALUATION IS NOT POSSIBLE. THERE IS NO INDICATION THAT ANY MALFUNCTION OCCURRED DURING THE VISUMAX PROCEDURE WHICH COULD EXPLAIN THE MENTIONED SIDE EFFECTS.

Description of Event or Problem · 0

A VOLUNTARY REPORT (MW5155785) WAS SUBMITTED TO THE FDA BY A PATIENT IN THE US ON JUNE 4TH, 2024, THROUGH THE FDA'S MEDWATCH PROGRAM. THE PATIENT REPORTED: "I HAD RELEX SMILE SURGERY DONE ON MY LEFT EYE AND LASIK SURGERY DONE ON MY RIGHT EYE. I'VE HAD CONSTANT EYE PAIN IN MY LEFT EYE, FEELING OF THROBBING, STRAINING THAT THEN RADIATES ACROSS THE LEFT SIDE OF MY FACE. I'VE USED EYE DROPS CONSISTENTLY FOR MONTHS WITH NO CHANGES. ADDITIONALLY, I HAVE SEVERE GLARE AND SEVERE HALOS AT NIGHT MAKING DRIVING DIFFICULT AND SCARY. THE NEGATIVE OUTCOME OF THE SURGERY HAS LEAD ME TO A DEEP DEPRESSION, THOUGHTS OF SUICIDE AND INCREDIBLE STRAIN ON MY LIFE MAKING IT NEAR IMPOSSIBLE TO DO DAILY ACTIVITIES. MY SURGEON HAS DONE LITTLE TO NOTHING TO HELP FIND SOLUTIONS LEAVING ME TO LIVE IN AGONY."

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
257325 VISUMAX FEMTOSECOND LASER SYSTEM FOR REFRACTIVE CORRECTION OTL CARL ZEISS MEDITEC AG (JENA) UNKNOWN UNKNOWN

Patients

Seq Age Sex Outcome Treatment
1 38 YR Male Disability| O "MAGNESIUMVITAMIN CXANAX - POST SURGERY"