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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: LASIK; EXCIMER LASER SYSTEM

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LASIK; EXCIMER LASER SYSTEM Back to Search Results
Device Problem Patient-Device Incompatibility (2682)
Patient Problems Dry Eye(s) (1814); Eye Injury (1845); Vitreous Floaters (1866); Discomfort (2330); Eye Pain (4467)
Event Date 06/01/2019
Event Type  Injury  
Event Description
Had lasik surgery around 2001.Was only told that i would need reading glasses around age 50.Was not told i would have dry eyes, floaters, and puckering of my retina due to having laser surgery.These conditions are quality of life altering.Hard to work, constant eye irritation, daily discomfort.Fda safety report id # (b)(4).
 
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Brand Name
LASIK
Type of Device
EXCIMER LASER SYSTEM
MDR Report Key13500423
MDR Text Key285431252
Report NumberMW5107340
Device Sequence Number1
Product Code LZS
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 02/06/2022
1 Device was Involved in the Event
1 Patient was Involved in the Event
Is this an Adverse Event Report? Yes
Is this a Product Problem Report? Yes
Device Operator Health Professional
Initial Date Manufacturer Received Not provided
Initial Date FDA Received02/08/2022
Patient Sequence Number1
Patient Outcome(s) Disability;
Patient Age57 YR
Patient SexFemale
Patient EthnicityNon Hispanic
Patient RaceWhite
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