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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: EXCIMER LASER; EXCIMER LASER SYSTEM

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EXCIMER LASER; EXCIMER LASER SYSTEM Back to Search Results
Device Problem Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Dry Eye(s) (1814); Halo (2227)
Event Date 02/04/2022
Event Type  Injury  
Event Description
Smile and lasik surgery was performed on my left and right eye respectively on friday, (b)(6) 2022.In (b)(6), i had cataract surgery in my right eye which was mildly corrective.A year later, my vision is worsening with visual symptoms including halos, starbursts, glare, and ghosting.I have severely dry eyes and i am required to use glasses for distances and readers.
 
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Brand Name
EXCIMER LASER
Type of Device
EXCIMER LASER SYSTEM
MDR Report Key16325951
MDR Text Key309196812
Report NumberMW5114785
Device Sequence Number1
Product Code OTL
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 02/04/2023
2 Devices were Involved in the Event: 1   2  
1 Patient was Involved in the Event
Date FDA Received02/07/2023
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Was Device Available for Evaluation? No
Patient Sequence Number1
Patient Outcome(s) Required Intervention; Disability;
Patient Age55 YR
Patient SexFemale
Patient EthnicityHispanic
Patient RaceBlack Or African American
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