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CTRI Number  CTRI/2024/08/073023 [Registered on: 28/08/2024] Trial Registered Prospectively
Last Modified On: 09/12/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Different types of macular hole surgery and its effects on functions of eyes 
Scientific Title of Study   Comparing the Anatomical and Functional outcome of Total ILM peeling versus Hemi-temporal ILM peeling in Macular Hole surgery 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Prabha Siddaraju 
Designation  DNB trainee 
Affiliation  Sankara eye hospital 
Address  Department of retina, Sankara eye hospital, Kundalahalli gain, Varthur road. Bangalore - 560037

Bangalore
KARNATAKA
560037
India 
Phone  9606393341  
Fax    
Email  prabhasiddaraju@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Rajesh Ramanjulu 
Designation  Consultant 
Affiliation  Sankara eye hospital 
Address  Department of vitreo- retina surgery Sankara eye hospital, Kundalahalli gain, Varthur road. Bangalore - 560037

Bangalore
KARNATAKA
560037
India 
Phone  9036952706  
Fax    
Email  drragraj@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Prabha Siddaraju 
Designation  DNB trainee 
Affiliation  Sankara eye hospital 
Address  Department of retina Sankara eye hospital, Kundalahalli gain, Varthur road. Bangalore - 560037

Bangalore
KARNATAKA
560037
India 
Phone  9606393341  
Fax    
Email  prabhasiddaraju@gmail.com  
 
Source of Monetary or Material Support  
Sankara eye hospital Kundalahalli gate Varthur main road Bangalore -560037 Karnataka state India 
 
Primary Sponsor  
Name  Dr Prabha Siddaraju 
Address  Sankara eye hospital Kundalahalli gate Varthur main road Bnagalore - 560037 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Prabha Siddaraju  Sanakara eye hospital  Department of vitreoretinal surgery Room no- 24 G lounge Kundalahalli gate Varthur road Bangalore - 560037
Bangalore
KARNATAKA 
9606393341

prabhasiddaraju@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional ethics committee of Sankara eye hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H35||Other retinal disorders,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Macular hole surgery - hemi- temporal ILM peeling  Hemi-temporal ILM Peeling done in place of 360 degree ILM peeling done and its functional and anatomical outcome is measured till 1st month post op 
Comparator Agent  Macular hole surgery- Total ILM peeling  Conventional 360 degree ILM peeling done and compared its functional and anatomical outcome till 1st month post op 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  1. Idiopathic full thickness macular hole.
2. PPV with ILM peeling - Total peel and Hemi-temporal ILM peeling
3. Tamponading agents of surgeons choice.
4. Quantitative data on our outcome 
 
ExclusionCriteria 
Details  1.Secondary Macular hole due to – MYOPIC, DEGENERATIVE AND TRAUMATIC.
2.Partial thickness macular hole.
3.Other ocular abnormality – glaucoma, ARMD, diabetic retinopathies and retinal vascular disease.
4.Previous vitrectomy for macular holes and with persistent or reopened holes
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Difference in Anatomical hole closure between Total ILM peeling v/s Hemi-temporal ILM peeling in macular hole surgery by Fundus photography & En Face OCT/ OCTA  1 week and 4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To correlate functional outcome in patients who developed DONFL -
- BCVA
- Humphrey’s 10-2 visual field test.

b) To detect the difference in appearance of DONFL in Total ILM peeling versus Hemi-temporal ILM peeling in Macular Hole surgery by Autofluorescence


c) To study the difference between Retinal thickness in Total ILM peeling versus Hemi-temporal ILM peeling in macular surgery by OCT and OCTA 
1 month post operative period 
 
Target Sample Size   Total Sample Size="20"
Sample Size from India="20" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   07/09/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  07/09/2024 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
1.Hemi-temporal ILM peeling is as effective and safe conventional full peeling for macular hole surgery.
2.Complications of ILM peeling alone- Retinal Thinning, DONFL ( dissociation of optic nerve fiber layer)
Complications due to dye- chemical trauma.
Complications due tamponading agents- Glaucoma, Cataract.

 
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