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CTRI Number  CTRI/2025/11/097923 [Registered on: 24/11/2025] Trial Registered Prospectively
Last Modified On: 21/11/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Study of the inner corneal layer in people with cone shaped cornea using a special eye microscope 
Scientific Title of Study   Study of Corneal Endothelium in eyes with Keratoconus using Specular Microscope 
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 Shayreen Naz 
Designation  Secondary DNB Resident 
Affiliation  Sankara Eye hospital, Shimoga 
Address  Room no 11, Clinical Demonstration room,Sankara Eye Hospital, Thirthahalli, Gandharva Nagara Road, Harakere

Shimoga
KARNATAKA
577202
India 
Phone  7268003404  
Fax    
Email  shayreen.naz@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Roopasree B V 
Designation  Senior Consultant, Cornea  
Affiliation  Sankara Eye hospital, Shimoga 
Address  Room no 11, Clinical Demonstration room,Sankara Eye Hospital, Thirthahalli, Gandharva Nagara Road, Harakere

Shimoga
KARNATAKA
577202
India 
Phone  8884920286  
Fax    
Email  dr.roopasree@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Shayreen Naz 
Designation  Secondary DNB Resident 
Affiliation  Sankara Eye hospital, Shimoga 
Address  Room no 11, Clinical Demonstration room,Sankara Eye Hospital, Thirthahalli, Gandharva Nagara Road, Harakere

Shimoga
KARNATAKA
577202
India 
Phone  7268003404  
Fax    
Email  shayreen.naz@gmail.com  
 
Source of Monetary or Material Support  
Sankara Eye Hospital, Thirthahalli, Gandharva Nagara Road, Harakere, Shivamogga, Karnataka, 577202 
 
Primary Sponsor  
Name  Dr Shayreen Naz 
Address  Room no 11, Clinical Demonstration room, Sankara Eye Hospital, Thirthahalli, Gandharva Nagara Road, Harakere, Shimoga, Karnataka, 577202 
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 
Shayreen Naz  Sankara Eye Hospital   Room no 11, Clinical Demonstration room
Shimoga
KARNATAKA 
7268003404

shayreen.naz@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sankara Eye Hospital, Shimoga  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H186||Keratoconus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  8.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1)Patient age 8 to 40 years
2)Topographically diagnosed Keratoconus patients
3)Patient willing to give consent for study
4)Patient with clear central cornea 
 
ExclusionCriteria 
Details  1)Patient not willing to give the consent for the study
2) Patient with altered Endothelium morphology
a. Previous ocular surgeries
b.Contact lens use
c.Previous collagen cross-linking
d.Coexisting ocular disease like Glaucoma, Uveitis, Fuchs Endothelial Dystrophy
3) Patient with inability to capture Endothelium image
a. Acute hydrops
b.Corneal opacities or scarring
c.Stage 4 Keratoconus with scarring
d.Poor fixation or Uncooperative patient 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To study corneal endothelial cells in eyes with Keratoconus using specular microscope  At presentation (baseline) 
 
Secondary Outcome  
Outcome  TimePoints 
To compare parameters in different stages of Keratoconus  At presentation (baseline) 
 
Target Sample Size   Total Sample Size="45"
Sample Size from India="45" 
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)   04/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  04/12/2025 
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 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  

Keratoconus is a bilateral and asymmetric disease which results in progressive thinning and cone like steepening of cornea leading to irregular astigmatism and decreased visual acquity. It primarily affects adolescence and early adulthood. 

Corneal endothelium is a single layer of uniformed cells having a hexagonal shape and covers the posterior surface of cornea. Its function is to stabilize the hydration of cornea and maintain its transparency.

Specular Microscopy is a non-invasive, non-contact diagnostic tool for imaging of corneal endothelium morphological characteristics. The endothelial health is interpreted with parameters such as percentage of hexagonal endothelial cells, coefficient of variation of cell area and endothelial cell density.

This study is being chosen because there is a gap in existing literature regarding this topic.

The purpose of this study is to study the health of corneal endothelial cells in topographically diagnosed Keratoconus patient and thereby modifying treatment decisions and hence improving patient outcomes.



 
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