FDA Adverse Event
Injury
Summary report: N
CRYSTALENS INTRAOCULAR LENS
MDR report key: 4172844
·
Received October 9, 2014
Report
- Report Number
- 2031924-2014-00266
- Event Type
- Injury
- Date Received
- October 9, 2014
- Report Date
- September 8, 2014
- Manufacturer
- BAUSCH + LOMB
- Product Code
- NAA
- PMA / PMN Number
- P030002
- Adverse Event
- Yes
- Report Source
- Manufacturer report
- Reporter Location
- AZ, US
- Reporter Occupation
- PHYSICIAN
Narratives
Additional Manufacturer Narrative · 1
INVESTIGATION IS UNDERWAY. A SUPPLEMENTAL REPORT WILL BE SUBMITTED UPON COMPLETION OF THE INVESTIGATION.
Description of Event or Problem · 1
IT WAS REPORTED THAT THE LENS VAULTED ANTERIORLY AND ASYMMETRICALLY, APPROXIMATELY 14 WEEKS POST IMPLANTATION. THE 2+PCO AND MILD VERTICAL STRIAE WERE OBSERVED. THE PT NOTICED A DECREASE IN VISION. THE PT'S CURRENT PROGNOSIS AND TREATMENT WERE DESCRIBED AS: "MYOPIC WITH ASTIGMATISM. YAG PLANNED IN NEAR FUTURE". THIS EVENT PERTAINS TO THE PT'S LEFT EYE. ADDITIONAL INFORMATION HAS BEEN REQUESTED BUT NO NEW INFORMATION HAS BEEN RECEIVED.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 637073 | CRYSTALENS INTRAOCULAR LENS | LENS, INTRAOCULAR, ACCOMMODATIVE | NAA | BAUSCH + LOMB | AT50AO | 7446608 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | Other |