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CTRI Number  CTRI/2024/04/065438 [Registered on: 09/04/2024] Trial Registered Prospectively
Last Modified On: 04/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   Visual Outcomes and Satisfaction comaprison in patients undergoing Intraocular lens implantation via Phacoemulsification.  
Scientific Title of Study   Visual Outcomes and Satisfaction in patients undergoing Monofocal Intraocular lens (IOL) Vs Multi-Focal IOL Vs Extended Depth of Focus (EDOF) IOL Implantation via Phacoemulsification.  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Manan Mistry 
Designation  PG Resident Doctor Ophthalmology 
Affiliation  Aravind Eye Hospitals 
Address  IOL Department, Aravind Eye Hospitals, Poonamallee High Road, Numbal. Chennai - 600077

Chennai
TAMIL NADU
600077
India 
Phone  7045255628  
Fax    
Email  mistry.manan@outlook.com  
 
Details of Contact Person
Scientific Query
 
Name  Haripriya Aravind 
Designation  Head of Department, Cataract & IOL Services 
Affiliation  Aravind Eye Hospitals 
Address  IOL Department, Aravind Eye Hospitals, Poonamallee High Road, Numbal. Chennai - 600077

Chennai
TAMIL NADU
600077
India 
Phone  9442643561  
Fax    
Email  haripriya@aravind.org  
 
Details of Contact Person
Public Query
 
Name  Manan Mistry 
Designation  PG Resident Doctor Ophthalmology 
Affiliation  Aravind Eye Hospitals 
Address  Room 210, PG Hostel, Aravind Eye Hospitals, Poonamallee High Road, Numbal. Chennai - 600077


TAMIL NADU
600077
India 
Phone  7045255628  
Fax    
Email  mistry.manan@outlook.com  
 
Source of Monetary or Material Support  
Aravind Eye Hospital Chennai 
 
Primary Sponsor  
Name  Aravind Eye Hospital Chennai 
Address  Aravind Eye Hospital, Poonamallee High Road, Numbal. Chennai - 600077 
Type of Sponsor  Research institution and hospital 
 
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 Prabu Baskaran  ARAVIND EYE HOSPITAL CHENNAI  Aravind Eye Hospital, Poonamallee High Road, Numbal, Chennai - 600077
Chennai
TAMIL NADU 
9940152529

prabubaskaran@aravind.org 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Insititutional Ethics Committee - Aravind Eye Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H259||Unspecified age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  85.00 Year(s)
Gender  Both 
Details  A) Patients aged 40 and above.
B) Patients advised surgery, consenting and willing to undergo cataract surgery by phacoemulsification / MICS.
C) Uneventful phacoemulsification / MICS surgery 
 
ExclusionCriteria 
Details  A) Patients with chronic co-morbidities like Diabetes Mellitus, Hypertension.
B) Any pre-existing corneal pathology/opacity leading to altered vision.
C) Any pre-existing retinal or macular pathology leading to sub-optimal post-op vision.
D) Inherited ocular conditions leading to Guarded visual prognosis.
E) Previously IOL implanted patient undergoing lens exchange procedure. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Visual Acuity differences across Near, Intermediate and Far vision will be measured and compared across Monofocals, Multifocals, EDOF IOLs. Multifocals should give spectacle free good visual acuity across all ranges. EDOF good visual acuity across Far and Intermediate vision.  Post Operative Day 1, Post Operative Day 21 (3rd week), Post operative Day 90 (3rd month) 
 
Secondary Outcome  
Outcome  TimePoints 
Patient satisfaction via IND-VFQ questionnaire on post operative visit.
-Spectacle independence
-Any adverse events related to the IOLs (glare, haloes, astigmatism, aberrations via iTrace. 
POD 1, 21 and 3rd month 
 
Target Sample Size   Total Sample Size="141"
Sample Size from India="141" 
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)   15/04/2024 
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 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   This study will employ a prospective, controlled, comparative trial design with the study duration being 1.5 years in Aravind Eye Hospital, Chennai.
Individuals who meet the specified inclusion and exclusion criteria will be invited to participate in the study after counselling and obtaining consent.
Patients will be in either the EDOF IOL or Multifocal IOL group or Monofocal group.

Pre-operatively
VA, Refraction, Slit lamp, Fundus exam, A scan biometry
VA, Refraction, Slit lamp, Fundus exam, A scan biometry, iTrace
VA, Refraction, Slit lamp, Fundus exam, A scan biometry

POD 1ST DAY
VA, Slit lamp, Fundus exam

POD 3RD WEEK
VA, Refraction, Slit lamp, Fundus exam

POD 3RD MONTH
VA, Refraction, IND - VFQ, Slit lamp, Fundus exam, iTrace
Patient satisfactions surveys (Indian – Visual Functioning Questionnaire) (3), visual acuity assessments (Vision, Refraction, A-scan biometry by Barrett II Universal formula, IOP, Slit lamp and fundus examination will be recorded at baseline (pre-operatively) and post operatively.
Follow up examinations will be conducted on Post – operative Day 1, 3rd week and 3rd month, measuring the same parameters mentioned above. Visual outcomes will be measured in terms of UCVA and BCVA for Near Vision, Intermediate Vision and Far Vision in logMAR form.
The tests being performed are already a part of the Standard Operating Protocol (SOP) of the hospital for patients undergoing cataract surgery. Additions are post- operative iTrace and Indian NEI - VFQ standardized validated questionnaire which will be furnished to the patient in his/her language of understanding and comprehension.
 
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