The product is not available for return so unable to investigate further for the root cause.Manufacturing and sterilization records were reviewed and found to be acceptable.The lot history, trend analysis, risk analysis and/or directions for use review were considered acceptable, with the product performing within anticipated rates.No corrective action required.
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The user facility in france reported that during cataract surgery, an anterior vitrectomy was performed, and the vitrectomy probe failed to aspirate the vitreous.The surgeon reported there were no abnormality before starting the surgery nor at the beginning of the intervention.The surgeon pushed the vitreous with an ophthalmic visco-surgical device allowing the vitreous to be pushed back as far as possible towards the back of the eye.The position of vitreous in the anterior chamber induced an immediate consequence of pupil deformation, poor visual acuity recovery, significant retinal detachment because the vitreous which is still attached to the retina, pulls on it as it passes through the back of the eye to the anterior chamber following iatrogenic posterior capsular rupture.Moreover, the stagnation of the vitreous in the irido-corneal angle in post-op induced an increased intraocular pressure.The surgery lasted approximately one (1) hour, without additional anesthesia.There was an increase in the dose of local corticosteroids post-op as well as subconjunctival injection of celestene the first two days after surgery.On day two post-op, the surgeon sent the patient to the ophthalmological emergency room for revision surgery with anterior vitrectomy because the presence of vitreous in the anterior chamber was too high.
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