FDA Adverse Event Injury Summary report: N

ACRYSOF

MDR report key: 2947247 · Received January 30, 2013

Report

Report Number
1119421-2013-00071
Event Type
Injury
Date Received
January 30, 2013
Report Date
December 31, 2012
Manufacturer
ALCON RESEARCH. LTD./HUNTINGTON
Product Code
HQL
PMA / PMN Number
P930014
Removal / Correction Number
NA
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
AS
Reporter Occupation
OTHER

Narratives

Additional Manufacturer Narrative · 1

THE PRODUCT WAS NOT RETURNED FOR ANALYSIS. PRODUCT HISTORY RECORDS COULD NOT BE REVIEWED BECAUSE THE REPORTER DID NOT PROVIDE A LOT NUMBER OR ANY IDENTIFICATION TRACEABLE TO THE MANUFACTURING DOCUMENTATION. THE PRODUCT INVESTIGATION COULD NOT IDENTIFY A ROOT CAUSE. DUBEY R, GRIGG J (2012) IMPROVED REFRACTIVE OUTCOME FOR CILIARY SULCUS- IMPLANTED INTRAOCULAR LENSES. OPHTHALMOLOGY 2012; 119:261-265. PATIENT CODE(S): (B)(4).

Description of Event or Problem · 1

IN A JOURNAL ARTICLE, THE AUTHORS PRESENTED THE RESULTS OF A RETROSPECTIVE STUDY TO INVESTIGATE THE IDEAL CORRECTION OF INTRAOCULAR LENS (IOL) POWER FOR SULCUS IMPLANTATION. THE AUTHORS REVIEWED THE RECORDS OF 679 PATIENTS UNDERGOING CATARACT SURGERY FROM JUNE 2007 TO JUNE 2008. POSTERIOR CAPSULE TEARS REQUIRING IMPLANTATION OF THE IOL IN THE CILIARY SULCUS OCCURRED IN 36 EYES. WHEN COMPARING EYE IN WHICH THE POWER WAS REDUCED BY 0.5 DIOPTERS WITH THOSE IN WHICH THE REDUCTION WAS 1.0 DIOPTERS, THOSE WITH A POWER REDUCTION OF 11.0 DIOPTERS HAD SIGNIFICANTLY LESS UNEXPECTED ERROR (0.49 VS. 1.01 SE). THE AUTHORS REPORTED THAT AFTER STRATIFYING EYES BY AXIAL LENGTH (AL), THEY FOUND HIGHER UNEXPECTED REFRACTIVE ERROR IN SHORT EYES (<22 MM AL). LIKEWISE, EYES WITH A PREDICTED IOP POWER >25 DIOPTERS HAD A GREATER POSTOPERATIVE REFRACTIVE ERROR. THE MEAN DIFFERENCE IN SPHERICAL EQUIVALENT (SE) WAS HIGHER IN THE >25 DIOPTER PLANNED IOL POWER GROUP (-1.41 DIOPTER SE) THAN IN THE <25 DIOPTER PLANNED IOP POWER GROUP (-0-67). THE AUTHORS FOUND THAT THE IOP POWER SHOULD BE ADJUSTED ACCORDING TO THE MEASURED AL AND PREDICTED IOP POWER. FOR PATIENT WITH A PREDICTED IOP POWER FROM 18 TO 25 DIOPTERS, POWER SHOULD BE REDUCED BY AT LEAST ONE DIOPTER; FOR LENSES >25 DIOPTERS, POWER SHOULD BE REDUCED BY 1.5 TO 2.0 DIOPTERS.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
41516 ACRYSOF INTRAOCULAR LENS HQL ALCON RESEARCH. LTD./HUNTINGTON MA60AC UNK

Patients

Seq Age Sex Outcome Treatment
1 Other