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CTRI Number  CTRI/2025/11/097115 [Registered on: 10/11/2025] Trial Registered Prospectively
Last Modified On: 10/11/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Testing a New AI-Based Eye Screening Tool (3Nethra Ultima) to Detect Chronic Eye Diseases 
Scientific Title of Study   Clinical Validation of an Artificial Intelligence-Based Screening and Diagnostic Tool 3Nethra Ultima for chronic eye diseases compared to standard diagnostic methods 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr. Kaushik Murali  
Designation  President Medical Administration 
Affiliation  sanakara Eye Foundation 
Address  Sankara Eye Hospital Dept. of Peidatric OPhthalmology and strabismus, Varthur Main Road , Kundalahalli Gate Bangalore KARNATAKA 560037 India

Bangalore
KARNATAKA
560037
India 
Phone  9739000096  
Fax    
Email  kaushik@sankaraeye.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr. Kaushik Murali  
Designation  President Medical Administration 
Affiliation  sanakara Eye Foundation 
Address  Dept. of pediatric Ophthalmology and strabismus Sankara Eye Hospital Varthur Main Road , Kundalahalli Gate Bangalore KARNATAKA 560037 India

Bangalore
KARNATAKA
560037
India 
Phone  9739000096  
Fax    
Email  kaushik@sankaraeye.com   
 
Details of Contact Person
Public Query
 
Name  Dr. Kaushik Murali  
Designation  President Medical Administration 
Affiliation  sanakara Eye Foundation 
Address  Sankara Eye Hospital Varthur Main Road , Kundalahalli Gate Bangalore KARNATAKA 560037 India

Bangalore
KARNATAKA
560037
India 
Phone  9739000096  
Fax    
Email  kaushik@sankaraeye.com   
 
Source of Monetary or Material Support  
Sankara Eye Hospital, Varthur Main Road, Kundalahalli Signal, Bengaluru 560037, Karnataka  
 
Primary Sponsor  
Name  Sankara Academy of Vision  
Address  Sankara Eye Hospital Varthur Main Road Kundalahalli Gate Bengaluru 560037, Karnataka, India 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL   
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Kaushik Murali   Sankara Eye Hospital Bangalore  Dept. Pediatric OPhthalmolgy and strabismus, Sankara Eye Hospital Varthur Main Road Kundalahalli Gate Bengaluru 560037, Karnataka, India
Bangalore
KARNATAKA 
9739000096

kaushik@sankaraeye.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Sankara Eye Hospital Bangalore   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H36||Retinal disorders in diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  AI tool  Efficiency of AI tool in detecting dry eyes, Age Related Macular Degeneration and Diabetic Retinopathy 
Comparator Agent  Clinical diagnosis   Clinical diagnosis of dry eye, ARMD and DR by clinicians based on clinical findings 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  75.00 Year(s)
Gender  Both 
Details  Participants who can understand and provide informed consent for participation in the study.
All Genders are included.
Adults with a diagnosis of Type 1 or Type 2 diabetes

 
 
ExclusionCriteria 
Details  Participants with Active ocular infection
Participants with Mature cataract
Participants with Media opacities preventing good-quality retinal images
History of Corneal surgery or trauma in past 6 months

 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Comparison of clinical efficiency of AI tool in detecting Chronic eye conditions when compared to specialist (gold standard) diagnoses. For NIBUT, TMH, MGD, LLI, diabetic retinopathy (DR),age-related macular degeneration (AMD)  first visit 
 
Secondary Outcome  
Outcome  TimePoints 
To test the sensitivity & specificity of AI tool in detecting the dry eye, retinal diseases like ARMD & Diabetic retinopathy  baseline one time visit 
 
Target Sample Size   Total Sample Size="738"
Sample Size from India="738" 
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)   25/11/2025 
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 prospectively evaluate the diagnostic accuracy and clinical utility of the AI-based ophthalmic device 3Nethra Ultima for detecting Diabetic Retinopathy (DR), Age-Related Macular Degeneration (AMD), and Dry Eye Disease in a clinical setting. Diagnostic accuracy for DR and AMD will be assessed using fundus images from 3Nethra Ultima, 3Nethra Pico, and EIDON cameras, compared to a reference standard of independent dual expert grading and senior specialist adjudication. For Dry Eye Disease, the AI tool’s performance in measuring TBUT, TMH, LLI, and MGD will be evaluated against standard clinical diagnostic methods. The goal is to validate the AI system’s ability to support accurate, efficient, and scalable eye disease screening.To prospectively determine the diagnostic accuracy and clinical utility of the AI-driven 3nethra Ultima device for the automated detection of Diabetic Retinopathy (DR), Age-Related Macular Degeneration (AMD), and Dry Eye Disease, compared to established clinical diagnostic standards and masked expert evaluation. 
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