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CTRI Number  CTRI/2025/08/092259 [Registered on: 04/08/2025] Trial Registered Prospectively
Last Modified On: 01/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Comparative observational study 
Study Design  Other 
Public Title of Study   How ability to maintain balance differ in adults with and without vision difficulties  
Scientific Title of Study   Comparison of Vestibulo-Ocular Reflex in Adults with and without Myopia  
Trial Acronym  NIL  
Secondary IDs if Any  
Secondary ID  Identifier 
NIL   NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Shreeya Srikanth  
Designation  Postgraduate Student  
Affiliation  Manipal College of Health Professions 
Address  Department of Speech and Hearing, Manipal College of Health Professions, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9902265840  
Fax    
Email  shreeya1.mchpmpl2024@learner.manipal.edu   
 
Details of Contact Person
Scientific Query
 
Name  Dr Kishan M M  
Designation  Associate Professor  
Affiliation  Manipal College of Health Professions 
Address  Department of Speech and Hearing, Manipal College of Health Professions, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845141575  
Fax    
Email  kishan.m@manipal.edu   
 
Details of Contact Person
Public Query
 
Name  Dr Kishan M M  
Designation  Associate Professor  
Affiliation  Manipal College of Health Professions 
Address  Department of Speech and Hearing, Manipal College of Health Professions, MAHE, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845141575  
Fax    
Email  kishan.m@manipal.edu   
 
Source of Monetary or Material Support  
Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal - 576104 
 
Primary Sponsor  
Name  Shreeya Srikanth  
Address  Department of Speech and Hearing, Manipal College of Health Professions, MAHE, Manipal, 576104 
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 Kishan M M   Department of Speech and Hearing, Kasturba Hospital   Room number 307, Research Lab, Kasturba Hospital, MAHE, Manipal, 576104
Udupi
KARNATAKA 
9845141575

kishan.m@manipal.edu  
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Myopic and non myopic individuals  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  INCLUSION CRITERIA
Non-myopic group:
Healthy adults without Myopia or any other vision-related disorders who are age and gender matched.

Myopic group:
Individuals with Myopia
Either spectacle and contact lens users

 
 
ExclusionCriteria 
Details  EXCLUSION CRITERIA
Non myopic group:
Individuals with a history of recurrent ear infections.
Individuals with Conductive Hearing loss.
Individuals with pre-existing balance difficulties due to organic disorders.
Individuals with other vision-related disorders such as hyperopia, retinopathy, retinal detachment, optic neuropathy, and cataracts.
Individuals with diagnosed neurological disorders and psychological disorders affecting balance.
Individuals with vision or vestibular impairments related to head trauma.
Individuals with visual or vestibular impairments secondary to systemic illnesses.
Post-enrolment exclusion of individuals who are diabetic based on ocular assessment findings.

Myopic group:
Individuals with a history of recurrent ear infections.
Individuals with diagnosed Conductive Hearing loss.
Individuals with pre-existing balance difficulties due to organic disorders.
Individuals with other vision-related disorders such as hyperopia, retinopathy, retinal detachment, optic neuropathy, and cataracts.
Individuals with diagnosed neurological disorders and psychological disorders affecting balance.
Post-enrolment exclusion of individuals who are diabetic based on ocular assessment findings.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
This study helps in establishing the impact of different degrees of myopia on vestibular functions  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
NIL   NIL  
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   12/08/2025 
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="0"
Months="8"
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  

This study aims to compare vestibular functioning in myopic and non-myopic individuals using Ocular Vestibular Evoked Myogenic Potentials and Subjective Visual Vertical, and to also assess the self-perceived impact of myopia on the participants using a questionnaire, Dizziness Handicap Inventory. 

Participants within the age range of 18-40 years, with and without myopia will be recruited from various departments of Manipal College of Health Professions and will involve the student population. Written informed consent will be obtained, followed by screening, which involves ocular assessments to rule out other ocular conditions and confirm eligibility based on degree of myopia. Assessments will be conducted in the following sequence: ocular evaluation (15–20 minutes), completion of the functional component of the DHI (self-reported), Subjective Visual Vertical (SVV) testing using the Cyclops Balance eye system with VNG goggles (10–15 minutes), and Ocular Vestibular Evoked Myogenic Potentials (oVEMP) recording using the Intelligent Hearing Systems (IHS) Duet in a sound-treated room under EMG monitoring (30–40 minutes). Safety will be monitored during testing, and participants are free to withdraw at any time without penalty. No routine follow-up visits are planned. 


Outcome measures: 

Latency of N1-P1 peaks (millisecond)

Amplitude of N1-P1 peaks (Millivolt)

Amplitude Asymmetry Ratio (Percentage)

Angle of deviation from vertical (Degree)

Clinical implications: 

This study helps in understanding the impact of different degrees of myopia on vestibular functions 

It helps tailor a specialized vestibular test battery for the population with myopia and dizziness 

It can also help in the development of specific vestibular rehabilitation in vision-related dizziness conditions  

 
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