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MAUDE Adverse Event Report: PRK
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PRK
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Device Problem
Insufficient Information (3190)
Patient Problems
Dry Eye(s) (1814); Headache (1880); Pain (1994)
Event Date
04/03/2006
Event Type
Injury
Event Description
I underwent prk at (b)(6) while on active duty in the (b)(6).While the procedure did offer temporary correction to my astigmatism, the resulting symptoms of chronic dry eyes, pain and headaches persists.
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Submit an Adverse Event Report
Brand Name
PRK
Type of Device
PRK
MDR Report Key
6116515
MDR Text Key
60657893
Report Number
MW5066200
Device Sequence Number
1
Product Code
LZS
Number of Events Reported
1
Summary Report (Y/N)
N
Report Source
Voluntary
Reporter Occupation
Other Health Care Professional
Type of Report
Initial
Report Date
11/17/2016
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
Was Device Available for Evaluation?
No
Initial Date Manufacturer Received
Not provided
Initial Date FDA Received
11/17/2016
Type of Device Usage
N
Patient Sequence Number
1
Patient Outcome(s)
Disability;
Patient Age
55 YR
Patient Weight
111
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