FDA Adverse Event Injury Summary report: N

CRYSTALENS HD IOL

MDR report key: 2901180 · Received January 4, 2013

Report

Report Number
2031924-2013-00003
Event Type
Injury
Date Received
January 4, 2013
Date of Event
September 19, 2012
Report Date
December 5, 2012
Manufacturer
BAUSCH + LOMB
Product Code
NAA
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OK, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE LENS IS IMPLANTED, THEREFORE IT IS NOT AVAILABLE FOR EVAL. INVESTIGATION OF THIS EVENT IS IN PROGRESS. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.

Description of Event or Problem · 1

IT WAS REPORTED THAT ANTERIOR VAULTING OF THE LENS WAS NOTED AT THE CLINICAL EXAM APPROX 18 MONTHS POST IMPLANT. THE REFRACTION CHANGED FROM SPHERICAL EQUIVALENT OF +0.25 TO -1.00. YAG WAS PERFORMED ON (B)(6) 2012 ON INFERIOR HINGE OF THE IOL. SUBSEQUENTLY PRK WAS PERFORMED ON (B)(6) 2012. BCVA WAS 20/25-3 S ON (B)(6) 2012. THIS EVENT PERTAINS TO THE PT'S RIGHT EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
4523 CRYSTALENS HD IOL NAA/LENS,INTRAOCULAR,ACCOMMODATIVE NAA BAUSCH + LOMB HD520

Patients

Seq Age Sex Outcome Treatment
1 Other