Pharmacovigilance

Report an Adverse Event or Product Complaint

Your report helps us monitor the safety and quality of our products.

If you have experienced or observed an adverse event, suspected side effect, or product quality issue involving any Oculentis eye drop or eye-nutrition product, please tell us using the form below or by emailing pv@oculentismedical.com.

If this is a medical emergency, contact your local emergency services or treating physician immediately — do not wait to complete this form.

Who can report: Healthcare professionals, hospital staff, distributors, pharmacists, and patients or caregivers.
What happens next: You will receive an automatic confirmation immediately, and a member of our Quality & Safety team will acknowledge your report within 2 business days (India time) with a case reference number. We may contact you for additional details. Your report will be handled confidentially and shared with regulatory authorities only as required by law.
Please do not include patient names or other information that could identify a patient. Where possible, include the product batch/lot number — you will find it on the product label or packaging.

1. About you (the reporter)

Reporter type *

Name *

Professional designation

Organisation / hospital / clinic

Country *

City

Email *

Phone

May we contact you for follow-up?

Patient initials (optional)

Initials only — do not enter a patient's full name.

2. Product involved

Product category *

Product name *

Batch / lot number

Found on the product label or carton (e.g., ‘LOT’ or batch code).

Serial number (if applicable)

Expiry date (if visible)

Where was the product obtained?

3. The event

Date of event (approximate is acceptable)

Patient outcome to date

Event description *

Seriousness *

Was the product retained and available for return/analysis?

Have photos of packaging/labels or clinical reports? Please email them to pv@oculentismedical.com after submitting this form, removing any patient-identifying information first.

* I consent to Oculentis processing this report for safety surveillance and disclosing it to regulatory authorities as required by law. I confirm I have not included patient-identifying information (names, IDs, images of identifiable patients).