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CTRI Number  CTRI/2024/10/075397 [Registered on: 16/10/2024] Trial Registered Prospectively
Last Modified On: 14/10/2024
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Comparing the efficacy of various macular function tests in mature cataracts to B Scan Ultrasonography in pre-operative period at a tertiary eye care eye hospital in India  
Scientific Title of Study   Exploring the sensitivity and specificity of various macular function tests in mature cataracts and comparison to B Scan Ultrasonography at a tertiary care eye hospital in India  
Trial Acronym  nil  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  G Anuradha 
Designation  Fellowship in cataract, IOL 
Affiliation  Sankara eye hospital 
Address  Room number 21, General OPD, Sankara eye hospital, Varthur main road, Kundalahalli gate, Bangalore.

Bangalore
KARNATAKA
560037
India 
Phone  8008208553  
Fax    
Email  anuradhagali1412@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Meena Gopinath Menon  
Designation  Consultant and head, Glaucoma 
Affiliation  Sankara eye hospital 
Address  Room no 26,Glaucoma opd , Sankara eye hospital, Varthur main road, Kundalahalli gate ,Bangalore.

Bangalore
KARNATAKA
560037
India 
Phone  9886283310  
Fax    
Email  meenagm@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Singri Niharika prasad 
Designation  Consultant 
Affiliation  Sankara eye hospital  
Address  Room no 26 , Glaucoma opd, Sankara eye hospital, Varthur main road , Kundalahalli gate, Bangalore.

Bangalore
KARNATAKA
560037
India 
Phone  8971846960  
Fax    
Email  singriniharika@gmail.com  
 
Source of Monetary or Material Support  
Sankara eye hospital ,BANGALORE 
 
Primary Sponsor  
Name  G Anuradha 
Address  Sankara eye hospital, Varthur main road, kundalahalli gate, Bangalore -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 G Anuradha   Sankara eye hospital   Room no 21, General opd , Varthur main road, kundalahalli gate, Bangalore-560037
Bangalore
KARNATAKA 
8008208553

anuradhagali1412@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sankara Eye Hospital,Bangaloree  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H258||Other age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  41.00 Year(s)
Age To  89.00 Year(s)
Gender  Both 
Details  VISION WITH HAND MOVEMENTS, PERCEPTION OF LIGHT, PROJECTION OF RAYS(GRADE 4+,GRADE 5)sponcs grading 
 
ExclusionCriteria 
Details  Immature cataract
Secondary cataracts(uveitic,post silicone oil)
Traumatic mature cataract
Eyes with sluggish pupil reaction or RAPD and No PL
Bilateral mature cataract 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Conventional macular function tests were altered when there was an evident posterior segment abnormality seen on B scan and post operative OCT  Preoperative and Postoperative day 1  
 
Secondary Outcome  
Outcome  TimePoints 
Sensitivity & Speficity of each macular function tests  Preoperatively & Post operative day 1 
 
Target Sample Size   Total Sample Size="96"
Sample Size from India="96" 
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)   28/10/2024 
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="0"
Months="5"
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  

•        Age-related cataracts are the leading cause of disease-related visual impairment globally, accounting for 94 million adults aged ≥50 years who experienced low vision or blindness in 2020.

•         Although  cataract is easily treatable, a significant number of patients with a visually significant cataract (that is, a cataract with severe visual loss) remain undiagnosed in communities, especially in rural areas, due to the limited availability of, or accessibility to, cataract screening. 

•        Prevalence of mature cataracts is 11.4% in India. 

•        In our hospital incidence of mature cataracts is 12.54% (from March-May 2024)

•        The diagnosis and treatment outcome measurement in cases of mature cataracts  is challenging.

•        Macular function tests  are required for the evaluation of the macular function with opaque media in conditions including dense cataract and vitreous hemorrhage.

•        Conventional macular function tests were altered when there was an evident posterior segment abnormality seen on B Scan. So, in setup where B Scan ultrasonography is not available, the conventional macular function tests do help in cases of mature cataracts.    

OCULAR EXAMINATION: (pre operative )

1.Visual acuity( PL, PR In all 4 quadrants )

2.Slit lamp evaluation

3.Non contact tonometry

4.Dilated fundus examination

5.Following macular function tests were performed in dark room: Colour vision

                                                                                                      Maddox rod test 1 and 2

                                                                                                   Two point discrimination test

                                                                                                    Entoptic phenomenon

                                                                                                    B Scan ultrasonography 

     Post operative parameters (day 1):

•        1.post operative visual acuity

•        2.Dilated fundus examination

•        3. OCT scan

Data is collected and sensitivity and specificity values of each macular function test is correlated with B Scan results and postoperative retina changes ,OCT scan and visual outcome.


                           

                                       


 
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