FDA Adverse Event
Other
Summary report: N
LASIK
MDR report key: 3983418
·
Received August 1, 2014
Report
- Report Number
- MW5037609
- Event Type
- Other
- Date Received
- August 1, 2014
- Date of Event
- February 20, 2014
- Report Date
- August 1, 2014
- Product Code
- LZS
- Report Source
- Voluntary report
- Reporter Location
- IN, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
CALLER REPORTS HE HAD LASIK SURGERY PERFORMED IN HIS RIGHT EYE IN (B)(6) OF 2014. TWO DAYS AFTER THE PROCEDURE HE REPORTS THAT HIS VISION STARTED TO BECOME DISTORTED AND DARKER. CALLER STATES HE WENT TO THE DOCTOR AND FOUND THAT HIS RETINA WAS DETACHED AND AN EMERGENCY SURGERY WAS PERFORMED ON (B)(6) 2014. CALLER REPORTS THAT HE IS STILL EXPERIENCING VISION ISSUES.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 451564 | LASIK | LASIK | LZS |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 44 YR |