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CTRI Number  CTRI/2024/03/064786 [Registered on: 27/03/2024] Trial Registered Prospectively
Last Modified On: 24/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   Progression of myopia or short sightedness in children following surgery for intermittent exotropia which is characterized by occasional outward deviation of one or both eyes. 
Scientific Title of Study   A Prospective study of Myopia Progression in Children following surgical intervention for Intermittent exotropia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Purva Kavishwar 
Designation  Primary DNB resident 
Affiliation  Aravind Eye Hospital, Chennai 
Address  Aravind Eye Hospital, Poonamallee high road, opposite Saveetha dental college, Noombal, Chennai

Chennai
TAMIL NADU
600077
India 
Phone  9821426147  
Fax    
Email  kavishwar.purva@aravind.org  
 
Details of Contact Person
Scientific Query
 
Name  Dr Ankita Bisani 
Designation  Medical consultant 
Affiliation  Aravind Eye Hospital, Chennai 
Address  Aravind Eye Hospital, Poonamallee high road, opposite Saveetha dental college, Noombal, Chennai

Chennai
TAMIL NADU
600077
India 
Phone  9840450042  
Fax    
Email  ankita.bisani@aravind.org  
 
Details of Contact Person
Public Query
 
Name  Dr Ankita Bisani 
Designation  Medical consultant 
Affiliation  Aravind Eye Hospital, Chennai 
Address  Aravind Eye Hospital, Poonamallee high road, opposite Saveetha dental college, Noombal, Chennai

Chennai
TAMIL NADU
600077
India 
Phone  9840450042  
Fax    
Email  ankita.bisani@aravind.org  
 
Source of Monetary or Material Support  
Aravind Eye Hospital, Poonamallee high road, opposite Saveetha dental college, Noombal, Chennai- 600077, Tamil Nadu, India. 
 
Primary Sponsor  
Name  Purva Kavishwar 
Address  Aravind Eye Hospital, Poonamallee high road, opposite Saveetha dental college, Noombal, Chennai 
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 
Purva Kavishwar  Aravind Eye Hospital  Room No. 201, Department of Pediatric Ophthalmology and Strabismus, Aravind Eye Hospital, Poonamallee high road, opposite Saveetha dental college, Noombal, Chennai- 600077
Chennai
TAMIL NADU 
9821426147

kavishwar.purva@aravind.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Aravind Eye Hospital, Chennai  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H503||Intermittent heterotropia,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  15.00 Year(s)
Gender  Both 
Details  1.Patients who underwent surgery for IXT and achieved correction within plus/minus 10 prism diopters at 2 weeks post operatively.
2.Patients with myopia minus 0.5D to minus 6D
3.Astigmatism less than 2D
4.Anisometropia less than 2D
5.Amblyopia with BCVA more than 6/12
 
 
ExclusionCriteria 
Details  1.Patients with high myopia more than minus 6D
2.Lenticular myopia
3.K reading less than 36D or more than 48D
4.Previous ocular surgeries
5.Previous treatment with atropine or myopia control spectacle lenses or ortho K contact lenses
6.Retinopathy of prematurity/ congenital anomaly / glaucoma/retinal pathology

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Rate of myopia progression in patients who underwent surgical intervention for intermittent exotropia  At baseline, 6 months, 12 months 
 
Secondary Outcome  
Outcome  TimePoints 
To analyze whether age of surgery for intermittent exotropia influences myopia progression  18 months 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
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   N/A 
Date of First Enrollment (India)   01/04/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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   The purpose of this study is to prospectively study myopia progression in children who underwent surgical intervention for intermittent exotropia. Role of myopia in intermittent exotropia is reportedly due to increased accommodative demand caused by the exodeviation. The patients aged 5-15 years who fulfil the inclusion/exclusion criteria will be enrolled for the study and thoroughly counselled. At 2 weeks post- operatively, A scan biometry will be done for every patient to measure the axial length. A questionnaire will be handed over to the parents which includes questions related to risk factors associated with myopia progression. Patients will be followed up on 6 months and 12 months and they will undergo visual acuity testing, cycloplegic refraction with 3m Snellen’s chart, intraocular pressure measurement, anterior and posterior segment evaluation and A scan biometry to measure axial length (LENSTAR). Myopia progression will be analyzed and documented in terms of spherical equivalent and axial length. 
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