FDA Adverse Event Injury Summary report: N

ACRYSOF RESTOR

MDR report key: 2894793 · Received December 20, 2012

Report

Report Number
1119421-2012-01612
Event Type
Injury
Date Received
December 20, 2012
Date of Event
November 1, 2012
Report Date
December 2, 2012
Manufacturer
ALCON RESEARCH, LTD./HUNTINGTON
Product Code
HQL
PMA / PMN Number
P040020
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
CA, US
Reporter Occupation
NOT APPLICABLE

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. RESULTS FROM THE PRODUCT HISTORY RECORD REVIEW INDICATED THE PRODUCT MET RELEASE CRITERIA. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. THERE HAVE BEEN NO OTHER COMPLAINTS REPORTED IN THE LOT NUMBER. ATTEMPTS HAVE BEEN MADE TO OBTAIN ADDITIONAL INFORMATION. A COMPLETED QUESTIONNAIRE HAS NOT BEEN RECEIVED. (B)(4).

Description of Event or Problem · 1

A CONSUMER REPORTED THAT FOLLOWING INTRAOCULAR LENS (IOL) IMPLANT SURGERY, SHE HAS NOTICED FLASHING ON THE OUTER EDGE OF THE LENS. SHE IS ALSO EXPERIENCING TROUBLING DISORIENTATION AND DIZZINESS WHEN IN BRIGHT LIGHT, ESPECIALLY IN A LARGE SHOPPING AREA. THE CONSUMER REPORTED SHE HAS TO HOLD A SHOPPING CART FOR STABILITY. THE CONSUMER STATED THE LOWER PORTION OF THE LENS SEEMS TO HAVE THE MOST DISTORTION AND FEELS SWOLLEN. SHE HAS NOTICED SOME IMPROVEMENT IN HER READING ABILITY AND HER VISION AT TEN FEET IS IMPROVED, BUT DISTANCE IS ABOUT THE SAME. THE CONSUMER REPORTED EXPERIENCING GLARE AND STAR BURSTS AROUND LIGHTS THAT ARE MORE PRONOUNCED THAN SHE EXPECTED. SHE NOTED THE FLASHING AND DISORIENTATION SYMPTOMS ARE REDUCED WHEN SHE IS WEARING SUNGLASSES. THE CONSUMER REPORTED HER VISUAL ACUITY FOLLOWING THE IOL IMPLANT PROCEDURE MEASURED 20/30 AND TEN DAYS LATER WAS 20/30. HER SURGEON HAS CANCELLED THE IOL IMPLANT FOR HER FELLOW EYE UNTIL SHE IS RECHECKED IN ABOUT A MONTH. ADDITIONAL INFORMATION HAS BEEN REQUESTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 ACRYSOF RESTOR INTRAOCULAR LENS HQL ALCON RESEARCH, LTD./HUNTINGTON SN6AD1 12124516

Patients

Seq Age Sex Outcome Treatment
1 Other