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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: 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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Brand Name
PRK
Type of Device
PRK
MDR Report Key6116515
MDR Text Key60657893
Report NumberMW5066200
Device Sequence Number1
Product Code LZS
Number of Events Reported1
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 Received11/17/2016
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Disability;
Patient Age55 YR
Patient Weight111
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