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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: BAUSCH & LOMB INCORPORATED BAUSCH & LOMB ULTRA CONTACT LENSES; LENSES, SOFT CONTACT, EXTENDED WEAR

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BAUSCH & LOMB INCORPORATED BAUSCH & LOMB ULTRA CONTACT LENSES; LENSES, SOFT CONTACT, EXTENDED WEAR Back to Search Results
Device Problem Use of Device Problem (1670)
Patient Problems Keratitis (1944); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Date 10/01/2023
Event Type  Injury  
Event Description
Caller stated that she has been using acuvue contact lens by johnson and johnson for about a month now and was diagnosed with limbal stem cell deficiency, keratitis and verticillata.
 
Event Description
Additional information received from reporter on 29-nov-2023, for mw5147285.Attached is ail addendum to the claim filed initially on 23 october 2023, attached are photocopies of the contact lenses by bausch end lomb.
 
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Brand Name
BAUSCH & LOMB ULTRA CONTACT LENSES
Type of Device
LENSES, SOFT CONTACT, EXTENDED WEAR
Manufacturer (Section D)
BAUSCH & LOMB INCORPORATED
MDR Report Key18002273
MDR Text Key326599816
Report NumberMW5147285
Device Sequence Number1
Product Code LPM
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Non-Healthcare Professional
Type of Report Initial,Followup
Report Date 11/28/2023
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Date FDA Received10/24/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? No
Device Operator Lay User/Patient
Was Device Available for Evaluation? Yes
Is the Reporter a Health Professional? No
Patient Sequence Number1
Treatment
ALLOPURINOL; ALLOPURINOL; ARMODAFINIL; ARMODAFINIL; ATENOLOL; ATENOLOL; CITALOPRAM; CITALOPRAM; CRESTOR; CRESTOR; GARLIC CAPSULES; GLIPIZIDE; GLIPIZIDE; HCTZ (HYDROCHLOROTHIAZIDE); HCTZ (HYDROCHLOROTHIAZIDE); LEVOTHYROXINE; LEVOTHYROXINE, ; MEFORM ER; MEFORM ER; OMEGA 3 2100 W/ COQ10; OZEMPIC; OZEMPIC; PHILIPS RESPIRONICS DREAMSTATION 2 CPAP; PHILIPS RESPIRONICS DREAMSTATION 2 CPAP; RESTASIS; RESTASIS
Patient Outcome(s) Required Intervention;
Patient Age68 YR
Patient SexFemale
Patient Weight73 KG
Patient EthnicityNon Hispanic
Patient RaceWhite
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