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Bausch & Lomb's MoistureLoc caused blinding infections — 60 needed corneal transplants

Bausch & Lomb's MoistureLoc solution caused 180 Fusarium keratitis cases. 60 needed corneal transplants, 7 lost an eye. B&L paid $250M to settle 600 lawsuits.

Bausch & Lomb · 2006-04-11

What happened

Bausch & Lomb launched ReNu with MoistureLoc in 2004 as an enhanced version of its popular ReNu contact lens solution, promising extra moisture for lens wearers. But the formula had a hidden flaw: it was vulnerable to Fusarium, a fungus found in soil and water that could grow in the solution if a bottle was contaminated. Between June 2005 and September 2006, the CDC recorded 180 confirmed cases of Fusarium keratitis — a severe infection that inflames the cornea and can cause blindness — in users of the product.

Bausch & Lomb's response was slow and uneven. The company first suspended sales in Singapore in February 2006 after 39 cases were reported there, but continued selling in the US for another two months. On 11 April 2006, after the CDC announced a high statistical correlation between MoistureLoc and the infections, B&L finally stopped shipments. The damage was already done: 60 patients required corneal transplants and 7 patients lost an eye entirely. Two class action lawsuits were filed.

In 2009, Bausch & Lomb paid $250 million to settle approximately 600 lawsuits. The crisis had already cost the company its reputation. B&L was acquired by private equity firm Warburg Pincus in 2007, and later sold to Valeant Pharmaceuticals in 2013 for $4.5 billion. The recall is studied as a case study in both product safety failures and crisis management — specifically, the danger of responding to a safety threat in one market as if it were a local problem rather than a product-wide defect.

Why it happened

  • The MoistureLoc formula was vulnerable to Fusarium fungal growth once a bottle was contaminated — a design flaw that was not caught in testing
  • B&L treated the Singapore outbreak as a local problem rather than a product defect, continuing to sell in the US for two more months while the infections spread
  • B&L's slow response cost lives and eyesight — 60 corneal transplants and 7 enucleations happened while the company debated whether to recall globally
What it cost$250M settlements; 60 corneal transplants; 7 lost eyescatastrophic

The lesson

A product defect does not respect borders. When infections appear in Singapore, ask not 'our formula?' — ask 'whose formula?' Waiting costs more than finding the answer.

Aftermath

ReNu with MoistureLoc was permanently discontinued. Bausch & Lomb introduced new manufacturing and quality-control protocols for its remaining contact lens solutions. The company was acquired by Warburg Pincus in 2007 and later by Valeant Pharmaceuticals in 2013, returning to the public market in 2022. The Fusarium keratitis outbreak is cited in product safety literature as a case of delayed crisis response multiplying the damage. The total number of infections worldwide was estimated at over 1,000 across Asia, the US and Europe.

Sources

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    Somewhere, someone solved the problem this company failed at. 2nd Opinion →