FDA Adverse Event
Injury
Summary report: N
RAINDROP CORNEAL INLAY
MDR report key: 8487179
·
Received April 4, 2019
Report
- Report Number
- MW5085602
- Event Type
- Injury
- Date Received
- April 4, 2019
- Date of Event
- March 22, 2019
- Report Date
- April 2, 2019
- Manufacturer
- REVISION OPTICS / RVO 2.0, INC.
- Product Code
- LQE
- Adverse Event
- Yes
- Product Problem
- Yes
- Report Source
- Voluntary report
- Reporter Location
- TX, US
- Reporter Occupation
- PATIENT
Narratives
Description of Event or Problem · 1
FIN (B)(6) 2017, I HAD A RAINDROP CORNEAL INLAY IMPLANTED IN MY RIGHT EYE. ONE YEAR LATER IN (B)(6) 2018, I DEVELOPED CORNEAL HAZE WHICH AFFECTED MY VISION. I HAD THE LENS REPLACED AND THE HAZE WAS TREATED. APPROX 1 YR LATER IN (B)(6) 2019, I DEVELOPED THE HAZE AGAIN AND THIS TIME CAUSED HEADACHES. BLURRED VISION, AND LOSS OF DEPTH PERCEPTION. ON (B)(6) , I HAD THE INLAY REMOVED. FDA SAFETY REPORT ID# (B)(4).
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 274738 | RAINDROP CORNEAL INLAY | IMPLANT, CORNEAL, REFRACTIVE - RAINDROP POOR VISION INLAY | LQE | REVISION OPTICS / RVO 2.0, INC. | |||
| 274739 | RAINDROP CORNEAL INLAY | IMPLANT, CORNEAL, REFRACTIVE - RAINDROP POOR VISION INLAY | LQE | REVISION OPTICS / RVO 2.0, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | 53 YR | Other| R | 81MG ASPIRIN | APPLE CIDER VINEGAR| ATORVASTATIN| CARVIDIOL| CINNAMON CAPSULES| LEVOTHYROXINE| LISINOPRIL| METFORMIN | VITAMIN D3 |