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Global Pharma Healthcare is of its Artificial Tears Lubricant Eye Drops that were distributed by EzriCare and Delsam Pharma due to possible contamination, the US Food and Drug Administration said Thursday.

The US Centers for Disease Control and Prevention is investigating 55 reports of infections, one fatal, in 12 states that may be linked with the products.

Some of the cases involved permanent vision loss or hospitalization, and one person died.

These eye drops are preservative-free, meaning they don’t have ingredients to prevent bacterial growth.

Testing of open EzriCare bottles identified Pseudomonas aeruginosa bacteria that are resistant to a broad array of antibiotics.

Pseudomonas aeruginosa is usually spread in health care settings, the CDC says, and is increasingly difficult to treat because of antibiotic resistance.