FDA Adverse Event Injury Summary report: N

ENVISTA ENVY TORIC HYDROPHOBIC ACRYLIC INTRAOCULAR LENS

MDR report key: 21853875 · Received April 17, 2025

Report

Report Number
0001313525-2025-00051
Event Type
Injury
Date Received
April 17, 2025
Date of Event
March 15, 2025
Report Date
March 17, 2025
Manufacturer
BAUSCH + LOMB
Product Code
MFK
UDI-DI
10757770641984
PMA / PMN Number
P240005
Removal / Correction Number
RES96594
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IL, US
Reporter Occupation
NURSE
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

AFTER FURTHER REVIEW, THIS COMPLAINT IS NOT REPORTABLE AS PER 21 CFR 803.

Additional Manufacturer Narrative · 0

THE DEVICE REMAINS IMPLANTED. INVESTIGATION OF THIS EVENT IS IN PROGRESS. RECALL OF DEVICE IS UNDERWAY.

Description of Event or Problem · 0

IT WAS REPORTED THAT 1-DAY POST-IMPLANTATION OF AN INTRAOCULAR LENS (IOL) INTO THE RIGHT EYE (OD), THE PATIENT PRESENTED WITH TRACE INJECTION, 2+RR. 4+ CELL WITH FIBRIN, EARLY PUPILLARY FIBRIN MEMBRANE, AND <1MM NEW LAYERED HYPOPYON. BASED ON THE FINDINGS THE SURGEON CONCLUDED THE CAUSE AS TOXIC ANTERIOR SEGMENT SYNDROME (TASS). A SUB-TENON INJECTION OF VANCOMYCIN/CEFTAZIDIME WAS ADMINISTERED. IN THE SURGEON'S OPINION THE MOST LIKELY CAUSE OF THE EVENT IS INFECTION FROM SURGERY-CAUSE UNKNOWN. PATIENT OUTCOME IS GOOD. THE FOLLOWING MEDICATIONS WERE PRESCRIBED (FOR USE AT HOME POST-OPERATIVELY): PRED-MOXI-BROM 1%/0.5%/0.075% 1GTT QID UNTIL SEEN. PREDNISOLONE 1% 1GTT Q1H UNTIL SEEN.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
113967 ENVISTA ENVY TORIC HYDROPHOBIC ACRYLIC INTRAOCULAR LENS LENS, MULTIFOCAL INTRAOCULAR MFK BAUSCH + LOMB ETN 3Q26728 10757770641984

Patients

Seq Age Sex Outcome Treatment
1 83 YR Male Required Intervention ALCON MONARCH INJ + D CARTRIDGE, ALCON BSS, DUOVISC.