Device-specific vigilance guidance: intraocular lenses
Updated 15 January 2025
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This document provides guidance for manufacturers of devices for intraocular lenses. It outlines specific scenarios to consider when determining if an incident is reportable.ÌýÂ
You should read this document in conjunction with guidance on post market surveillance.Ìý
The aim of this guidance is to complement the requirements of . You should read it in conjunction with this regulation. Device-specific guidance does not replace or extend these requirements.Ìý
What to reportÂ
The following examples indicate how to report device performance problems that caused or contributed to an incident. The examples are for illustrative purposes only and do not constitute an exhaustive list. If in an incident appears to meet criteria contained in more than one category, ensure it is included in submissions under each reporting format, even if this results in duplication of reporting for that incident.Ìý
1. Report as individual incidents (in line with statutory timescales)Â
Clinical / symptomatic Â
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lens opacificationÂ
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lens explantation due to:Â
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decrease in best corrected visual acuityÂ
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significant halos/glare/starburstsÂ
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significant induced irregular astigmatismÂ
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diplopia, or other significant visual disturbanceÂ
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lens discolorationÂ
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lens defectÂ
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early cataract formation subsequent to phakic IOL implantationÂ
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intraocular haemorrhageÂ
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unexplained poor visual outcome as determined by the clinicianÂ
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posterior capsular opacificationÂ
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posterior capsular tear Â
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fracture of detachment of the haptic Â
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incorrect labelling or lens, including lens power Â
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failure of lens injectorsÂ
2. Incidents that may be included in periodic summary reports (PSR) on agreementÂ
If you cannot use PSR, then report these events individually.Ìý
Clinical / symptomatic   Â
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IOL induced iritis  Â
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post operative secondary glaucoma    Â
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- use errors resulting in serious injury and not falling into any identified category