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Additional information was provided in h.3., h.6 and h.11.The product was not returned for analysis.Only photo was returned.The reported complaint was observed on the returned photo.First provided photo shows what appears to be an implanted intraocular lens (iol).There is a light reflection and white spots over the lens.Second and third provided photos show an implanted iol.There appear to be multiple white spots over the optic.The exact location of the spots (anterior or posterior surface) cannot be confirmed from the returned photo.The photographs demonstrate the following significant findings: there are three photos of the same eye with the second photo having the best image.The photo is of an iol through a dilated pupil.There are a few white spots in the photo either on or within the iol.The spots are small and one would assume they have no impact on the patient vision.These photos appear to be glistening.Glistening appears in the first few months after iol surgery.Glistenings are microvacuoles of fluid that form within an iol when it is exposed to an aqueous environment.They range in size between 1-20 microns.In studies that evaluated glistening, the frequency of glistenings was related to time post surgery, dioptric power, postoperative inflammation, and phacotrabeculectomy.Based on our observation of the attached photo, the reported white spots appear to be glistening.Glistening appears in the first few months after iol surgery.Glistenings are microvacuoles of fluid that form within an iol when it is exposed to an aqueous environment.They range in size between 1-20 microns.In studies that evaluated glistening, the frequency of glistenings was related to time post surgery, dioptric power, postoperative inflammation, and phacotrabeculectomy.The root cause for the reported complaint could not be determined.Based on the results from the product history record, the products met release criteria.The manufacturer internal reference number is: (b)(4).
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