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CTRI Number  CTRI/2025/04/084740 [Registered on: 15/04/2025] Trial Registered Prospectively
Last Modified On: 13/04/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   To assess the effect of pre-operative antibiotic eye drops on conjuntival bacterial flora in preoperative cataract surgery patients  
Scientific Title of Study   To assess the effect of topical ofloxacin combination of topical ofloxacin and topical povidine iodine on conjuntival flora in preoperative cataract surgery patients  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Divya Elizabeth Varghese 
Designation  post graduate student department of ophthalmology 
Affiliation  Sri Ramachandra Medical College and Research Institute 
Address  post graduate student in ophthalmology Sri Ramachandra Medical College and research institute Porur Chennai

Chennai
TAMIL NADU
600116
India 
Phone  9544101109  
Fax    
Email  dezvrindavan@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  prof Stephen Sudhakar 
Designation  professor department of ophthalmology 
Affiliation  professor department of ophthalmology Sri Ramachandra Medical College and Research Institute 
Address  Dr Stephen Sudhakar department of ophthalmology Sri Ramachandra Medical College and research institute Porur Chennai

Chennai
TAMIL NADU
600116
India 
Phone  9944025350  
Fax    
Email  stephensudhakar8@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Divya Elizabeth Varghese 
Designation  post graduate student department of ophthalmology 
Affiliation  Sri Ramachandra Medical College and Research Institute 
Address  room 545 Girls hostel 5 Sri Ramachandra Medical College and research institute Porur Chennai

Chennai
TAMIL NADU
600116
India 
Phone  9544101109  
Fax    
Email  dezvrindavan@gmail.com  
 
Source of Monetary or Material Support  
Sri Ramachandra Medical College and Research Institue Porur Chennai India pincode 600116 
 
Primary Sponsor  
Name  Divya Elizabeth Varghese 
Address  Room 545 Girls hostel 5 Sri Ramachandra Medical College and research institute Porur Chennai 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
ProfStephen Sudhakar  Professor,senior consultant, neuro-ophthalmology , department of ophthalmology , SRIHER , Porur, Chennai - 600116 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Divya Elizabeth Varghese  Sri Ramachandra Medical College and Research Institute  G block Department of Ophthalmology Sri Ramachandra Medical College and Research Institute Porur Chennai
Chennai
TAMIL NADU 
9544101109

dezvrindavan@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional research ethical committee   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  ICD 10 PCS 3E0C3GC administration of topical ofloxacin and topical povidone iodine 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  eye drops ofloxacin (0.3%) group  ofloxacin eye drops (0.3%) are applied three times a day for three days preoperatively in both eyes of patients admitted for cataract surgery. Conjunctival swab is taken on the day of surgery (under strict aseptic precautions) and send for culture  
Intervention  combination of eyedrops ofloxacin (0.3%) and povidine iodidne (5%) group  applying eyedrops ofloxacin (0.3%) in both eyes for three times a day for three days and eye drops povidine iodidne (5%) in both eyes for three days preoperative for patients admitted for cataract surgery. conjuntival swab is taken on the day of surgery under strict aseptic precautions and sent for culture 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  1.Preoperative patients who are scheduled to undergo cataract surgery
2.Patients who are willing to participate in the study 
 
ExclusionCriteria 
Details  1. Patients with any signs of ocular infection / adnexal infection
2. Patients with history of use of focal/systemic antibiotics within 2 months prior to surgery 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
Comparing the efficacy of antibiotic and combination of antibiotic and povidone iodine on reducing the conjunctival bacterial flora   2 days 
 
Secondary Outcome  
Outcome  TimePoints 
2) To assess ofloxacin sensitivity on conjunctival bacterial flora in preoperative cataract patients  1 WEEK TO 2 WEEKS 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   24/04/2025 
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="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  


 A total of  120 eyes from 120 patients will be enrolled in this prospective    randomized study

After obtaining Institutional Ethics Committee approval, patients fitting in to the inclusion criteria will be  taken for the study after obtaining patient’s informed consent.

 Demographic information will be gathered along with the clinical history. One single skilled ophthalmologist will do a thorough visual examination that includes:

Best corrected visual acuity  as measured by the Snellen chart converted to the Log MAR chart

Slit lamp examination of the anterior segment 

After pupillary dilatation with 0.8 percentage Tropicamide and 5 percentage Phenylephrine eye drops fundoscopic examination using an indirect ophthalmoscope with a 20 D lens and slit lamp biomicroscopy with a 78 D lens is performed .

The Excel software program will be used to generate random numbers that will be assigned to each patient (block randomization). 

Patients will then be randomly assigned to either group 1 having 60 eyes or group 2 having 60 eyes

  Group 1 receiving ofloxacin eye drops

 Group 2 receiving ofloxacin and povidone iodine eye drops.

All eyes will recieve 1 drop of 0.3% topical ofloxacin for a total of 3 applications per day beginning from the day of admission to the day of surgery In addition the eyes in group 2 will recieve 1 drop of topical povidone iodine 1 time a day beginning from the day of admission(day0) to the day of surgery (day 2/3)

Conjunctival swab will be obtained from either groups  on the day of admission (day 0)  and on the day of surgery  ( day2/3 ) by swabbing  inferior conjunctival  fornix 

The collected material will be  inoculated into thioglycolate broth and petridish with solid culture medium like blood agar , chocolate agar and macconkey agar and spread with a platinum wire in lines covering all surface of the plate. The procedure allowed to isolate colonies. The plates will then be incubated for 24-48 hours presence of bacterial growth will be checked  for 2 days

Ofloxacin sensitivity of the conjunctival bacterial flora will also be  assessed by plating the collected material into media with ofloxacin antibiotic disc. Area of clareance of bacterial colony around the antibiotic disc will be noted

 
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