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CTRI Number  CTRI/2025/09/094133 [Registered on: 02/09/2025] Trial Registered Prospectively
Last Modified On: 02/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   Comparison of clinical and pathological findings in patients undergoing therapeutic corneal transplant  
Scientific Title of Study   Clinicopathological correlation in therapeutic keratoplasty 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
New Id   NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  ATMAKURU SAI SIVANI 
Designation  PG student 
Affiliation  sankara eye hospital ,guntur 
Address  GENERAL OPHTHALMOLOGY, CORNEA DEPARTMENT, SANKARA EYE HOSPITAL, GUNTUR VIJAYAWADA HIGHWAY,PEDAKAKANI,GUNTUR,ANDHRA PRADESH.

Guntur
ANDHRA PRADESH
522509
India 
Phone  6301599710  
Fax    
Email  shivaniatmakuru@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  VELURI HARITHA 
Designation  CORNEA CONSULTANT 
Affiliation  sankara eye hospital,guntur 
Address  CORNEA DEPARTMENT,ROOM NO-127,SANKARA EYE HOSPITAL, GUNTUR VIJAYAWADA HIGHWAY,PEDAKAKANI,GUNTUR,ANDHRA PRADESH

Guntur
ANDHRA PRADESH
2522509
India 
Phone  6301133957  
Fax    
Email  harithaveluri@sankaraeye.com  
 
Details of Contact Person
Public Query
 
Name  VELURI HARITHA 
Designation  CORNEA CONSULTANT 
Affiliation  sankara eye hospital,guntur 
Address  CORNEA DEPARTMENT, ROOM NO -127,SANKARA EYE HOSPITAL, GUNTUR VIJAYAWADA HIGHWAY,PEDAKAKANI,GUNTUR,ANDHRA PRADESH


ANDHRA PRADESH
2522509
India 
Phone  6301133957  
Fax    
Email  harithaveluri@sankaraeye.com  
 
Source of Monetary or Material Support  
Sankara eye hospital, guntur,522509,Andhra Pradesh, India  
 
Primary Sponsor  
Name  DrAtmakuru Sai Sivani 
Address  Sankara eye hospital, guntur- Vijayawada highway,pedakakani,guntur,522509,Andhra pradesh,India  
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 
DrAtmakuru sai sivani  Sankara eye hospital   Room no 127,cornea department, Ophthalmology division,Sankara eye hospital, guntur-Vijayawada highway,pedakakani,guntur,Andhra Pradesh
Guntur
ANDHRA PRADESH 
6301599710

shivaniatmakuru@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee-Sankara Eye Hospital-Guntur  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H160||Corneal ulcer, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
Intervention  Therapeutic keratoplasty   Preop cultures and staining reports collected followed by therapeutic keratoplasty and culture and histopathology of obtained corneal button .This includes time period of 3 months 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  Corneal ulcers of fungal,bacterial or acanthamoeba etiology, not responding to or showing progression despite a minimum of 2 weeks of medical therapy at our institute

Corneal ulcer with impending perforation

Perforated corneal ulcer more than 3mm

Patients who give consent to participate in the study
 
 
ExclusionCriteria 
Details  Patients with corneal ulcer caused by viruses

Perforated corneal ulcer less than 3mm

Patients age less than 15 or more than 70 with systemic conditions

Infectious keratitis with endophthalmitis or panophthalmitis
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Correlation of staining and culture reports preop with culture and histopathology reports of corneal button postop  Preop and postop 1week 
 
Secondary Outcome  
Outcome  TimePoints 
Assess predisposing factors for non healing infectious keratitis   Preop 1week  
 
Target Sample Size   Total Sample Size="49"
Sample Size from India="49" 
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   Phase 4 
Date of First Enrollment (India)   15/09/2025 
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="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   Infectious keratitis is a major cause of blindness worldwide.Though medical therapy is the first line of management ,some cases which are resistant to therapy and progress require therapeutic keratoplasty.Outcome of tkp depends on various factors one of which is identification of causative organism which guides in postoperative therapy and reduces the chance of recurrence. Corneal scrapings followed by staining and culture are standard diagnostic tools.cases where etiology is not clear, microbiological and histopathological analysis of host corneal button obtained during TKP reveals organisms missed by staining and culture.This study aims to evaluate how well the clinical findings match with microbiological and histopathological results in patients undergoing therapeutic keratoplasty. Understanding this correlation helps us in guiding proper treatment, reduce graft failure and improve visual outcome in severe infectious keratitis.  
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