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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: STAAR SURGICAL COMPANY IMPLANTABLE COLLAMER LENS (ICL); PHAKIC INTRAOCULAR LENS

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STAAR SURGICAL COMPANY IMPLANTABLE COLLAMER LENS (ICL); PHAKIC INTRAOCULAR LENS Back to Search Results
Catalog Number N/A
Device Problems Misfocusing (1401); Adverse Event Without Identified Device or Use Problem (2993)
Patient Problems Corneal Edema (1791); Intraocular Pressure Increased (1937); Pain (1994); Blurred Vision (2137); Appropriate Clinical Signs, Symptoms, Conditions Term / Code Not Available (4581)
Event Type  Injury  
Manufacturer Narrative
(b)(4).Claim#: (b)(4).
 
Event Description
An article published "interface fluid syndrome after bioptics surgery" indicated that an implantable collamer lens was implanted into the patient's left eye (os) after lasik surgery.1 month postoperatively the patient complained of decreased vision; pain; and photophobia in the eye; hypertension (elevated iop).Patient was prescribed medication.At a later date slit lamp examination indicated severe corneal edema as well.It was later reported that after medication use the patient's eye was clear; iop was stable; medication was discontinued and the patient was discharged.The article concludes noting "we believe that the icl was not the direct cause of ifs; but rather it was the prolonged aggressive topical steroid use after icl in a steroid responder who had undergone lasik.Lens remains implanted.
 
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Brand Name
IMPLANTABLE COLLAMER LENS (ICL)
Type of Device
PHAKIC INTRAOCULAR LENS
Manufacturer (Section D)
STAAR SURGICAL COMPANY
1911 walker avenue
monrovia CA 91016
Manufacturer (Section G)
STAAR SURGICAL COMPANY
1911 walker avenue
monrovia CA 91016
Manufacturer Contact
joselene enriquez
1911 walker avenue
monrovia, CA 91016
MDR Report Key14605731
MDR Text Key293447666
Report Number2023826-2022-01798
Device Sequence Number1
Product Code MTA
Combination Product (y/n)N
Reporter Country CodeSA
Number of Events Reported1
Summary Report (Y/N)N
Report Source Manufacturer
Source Type Other,Foreign,Health Professional,Distributor
Reporter Occupation Physician
Type of Report Initial
Report Date 05/13/2022
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? No
Device Operator Health Professional
Device Catalogue NumberN/A
Device Lot NumberN/A
Was Device Available for Evaluation? No
Is the Reporter a Health Professional? Yes
Initial Date Manufacturer Received 05/13/2022
Initial Date FDA Received06/06/2022
Was Device Evaluated by Manufacturer? Device Not Returned to Manufacturer
Is the Device Single Use? Yes
Is This a Reprocessed and Reused Single-Use Device? No
Type of Device Usage Initial
Patient Sequence Number1
Patient Outcome(s) Required Intervention;
Patient SexMale
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