FDA Adverse Event Injury Summary report: N

CRYSTALENS ACCOMMODATING IOL

MDR report key: 4846743 · Received June 12, 2015

Report

Report Number
1313525-2015-01648
Event Type
Injury
Date Received
June 12, 2015
Date of Event
March 10, 2015
Report Date
May 13, 2015
Manufacturer
BAUSCH + LOMB
Product Code
NAA
PMA / PMN Number
P030002
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
OH, US
Reporter Occupation
PHYSICIAN

Narratives

Additional Manufacturer Narrative · 1

THE LENS IS IMPLANTED. THEREFORE, A PRODUCT EVALUATION COULD NOT BE CONDUCTED. ONE RETAIN SAMPLE FROM THE SAME LOT 7463214 WAS DIMENSIONALLY INSPECTED AND ALL MEASUREMENTS WERE FOUND TO BE WITHIN SPECIFICATIONS. THE DEVICE HISTORY RECORDS WERE REVIEWED AND THERE WERE NO DISCREPANCIES OR UNUSUAL FINDING THAT RELATE TO THE REPORTED ISSUE. BASED ON THE CURRENT INFORMATION, THE SPECIFIC ROOT CAUSE OF THE EVENT COULD NOT BE DETERMINED.

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 LENS TILTED APPROXIMATELY 6-7 WEEKS POST IMPLANT DUE TO CAPSULAR CONTRACTION. REPORTEDLY, THE PATIENT NOTICED A DECREASE IN VISION AND NEED A SECOND OPINION. THIS REPORT REFERS TO THE PATIENT'S LEFT EYE. REFERENCE MDR# 1313525-2015-01647 FOR THE LENS INVOLVING THE PATIENT'S RIGHT EYE.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED: REPORTEDLY, IT WAS DETERMINED THAT THE PATIENT'S VISION WAS BEING ADVERSELY AFFECTED THE ONSET OF "Z-SYNDROME". REPORTEDLY, THE REFERRING DOCTOR HAS CONFIRMED THE PRESENCE OF Z-SYNDROME, AND HAS NOTED THE CONDITION IS MORE SEVERE IN THE RIGHT EYE. THE REFERRING DOCTOR IS EVALUATING TREATMENT OPTIONS.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED DESCRIBES THE EVENT AS BILATERAL Z-SYNDROME WITH HIGH ASTIGMATISM POST CATARACT EXTRACTION AND IOL IMPLANTS. ACCORDING TO THE PHYSICIAN, THE LIKELY CAUSE OF THE EVENT WAS "ANTERIOR VAULTING OF OPTIC AT HINGE FOLLOWING CAPSULAR FIBROSIS AFTER ROUTINE CATARACT EXTRACTION AND BILATERAL IOL IMPLANT. THE PATIENT'S CURRENT PROGNOSIS AND TREATMENT IS "UNCLEAR IF LENS POSITION WILL CONTINUE TO CHANGE - TRYING CONSERVATIVE APPROACH WITH SPECTACLES FIRST ANS WILL RECHECK IN 3 WEEKS". PATIENT ALSO DEVELOPED CYSTOID MACULAR EDEMA (CME) OD AND SAW OUTSIDE RETINA DOCTOR. THE PATIENT WOULD PROBABLY BENEFIT FROM LENS EXCHANGE BUT THE PATIENT IS CONCERNED ABOUT ADDITIONAL COMPLICATIONS ESPECIALLY IN LIGHT OF CYSTOID MACULAR EDEMA (CME) OD.

Description of Event or Problem · 1

ADDITIONAL INFORMATION RECEIVED FROM THE PT: BLURRY VISION, MORE PREVALENT WITH DISTANCE AND MID-RANGE VISION. THE PT INDICATED THAT IT HAS BEEN 4 MONTHS OF FLUCTUATING VISION AND IT IS STILL NO RESOLVED. THE PT IS NOW SEEING ANOTHER DOCTOR. REPORTEDLY, THE PT WAS TOLD THAT THERE IS Z-SYNDROME AND IT IS HIGH RISK TO REMOVE THE LENSES. THE CURRENT DOCTOR HAD TREATED THE PROBLEM WITH CORRECTIVE LENSES (GLASSES).

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
384264 CRYSTALENS ACCOMMODATING IOL LENS, INTRAOCULAR, ACCOMMODATIVE NAA BAUSCH + LOMB AT50AO 7463214

Patients

Seq Age Sex Outcome Treatment
1 59 YR Other