FDA Adverse Event
Injury
Summary report: N
CRYSTALENS ACCOMMODATING IOL
MDR report key: 3123627
·
Received May 17, 2013
Report
- Report Number
- 2031924-2013-00097
- Event Type
- Injury
- Date Received
- May 17, 2013
- Date of Event
- February 12, 2013
- Report Date
- April 18, 2013
- Manufacturer
- BAUSCH + LOMB
- Product Code
- NAA
- PMA / PMN Number
- P030002
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- PA, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
THE LENS REMAINS IMPLANTED THEREFORE IT WILL NOT BE RETURNED TO BAUSCH + LOMB FOR EVALUATION. 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 APPROXIMATELY ONE WEEK AFTER LENS IMPLANTATION, THE PATIENT DEVELOPED UVEITIS. DURING THE SURGERY, THE SURGEON NOTED THAT THE CAPSULE BAG WAS "SLIGHTLY TIGHT" FOLLOWING LENS INSERTION AND ROTATION. THE PATIENT WAS TREATED WITH STEROIDS. THERE WAS NO LOSS OF BCVA REPORTED. THIS REPORT PERTAINS TO THE PATIENT'S RIGHT EYE. PLEASE REFERENCE MDR# 2031924-2013-00096 FOR THE INTRAOCULAR LENS USED IN THE LEFT EYE.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 219366 | CRYSTALENS ACCOMMODATING IOL | NAA / LENS INTRAOCULAR, ACCOMMODATIVE | NAA | BAUSCH + LOMB | AT50AO |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 63 YR | Other |