FDA Adverse Event Injury Summary report: N

CRYSTALENS HD IOL

MDR report key: 3010271 · Received March 13, 2013

Report

Report Number
2031924-2013-00053
Event Type
Injury
Date Received
March 13, 2013
Date of Event
December 12, 2012
Report Date
February 11, 2013
Manufacturer
BAUSCH + LOMB
Product Code
NAA
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
IN
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

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 THE PT PRESENTED WITH DECREASED IN VISION DUE TO ASYMMETRICAL LENS VAULTING OBSERVED 11 WEEKS FOLLOWING IMPLANTATION OF THE IOL. LENS REPOSITIONING WAS PERFORMED ONE WEEK LATER AND CAPSULAR TENSION RING (CTR) WAS PLACED. THE SURGEON INDICATED THAT IN HIS OPINION THE MOST LIKELY CAUSE OF THE EVENT WAS CAPSULAR FIBROSIS. THE PT PROGNOSIS IS GOOD. THIS REPORT PERTAINS TO THE PT'S LEFT EYE.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
106379 CRYSTALENS HD IOL NAA BAUSCH + LOMB HD500

Patients

Seq Age Sex Outcome Treatment
1 54 YR Other