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CTRI Number  CTRI/2025/12/099523 [Registered on: 19/12/2025] Trial Registered Prospectively
Last Modified On: 18/12/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   How psychological factors influence patients’ experience during vision therapy for binocular vision problems 
Scientific Title of Study   Psychological Mediators of Perceived versus Clinical Improvement in Non-Strabismic Binocular Vision Disorders (NSBVD) 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Ranjani Raman 
Designation  Psychology Intern 
Affiliation  Sankara Eye Hospital 
Address  Psychology Department, First Floor, Room 4 Sankara Eye Hospital Varthur Rd, Vaikuntam Layout, Lakshminarayana Pura, Kundalahalli, Munnekollal, Bengaluru, Karnataka – 560037

Bangalore
KARNATAKA
560037
India 
Phone  7349103090  
Fax    
Email  ranjani.raman.01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Ranjani Raman 
Designation  Psychology Intern 
Affiliation  Sankara Eye Hospital 
Address  Psychology Department, First Floor, Room 4 Sankara Eye Hospital Varthur Rd, Vaikuntam Layout, Lakshminarayana Pura, Kundalahalli, Munnekollal, Bengaluru, Karnataka – 560037


KARNATAKA
560037
India 
Phone  7349103090  
Fax    
Email  ranjani.raman.01@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Ranjani Raman 
Designation  Psychology Intern 
Affiliation  Sankara Eye Hospital 
Address  Psychology department, First Floor, Room 4 Sankara Eye Hospital Varthur Rd, Vaikuntam Layout, Lakshminarayana Pura, Kundalahalli, Munnekollal, Bengaluru, Karnataka – 560037


KARNATAKA
560037
India 
Phone  7349103090  
Fax    
Email  ranjani.raman.01@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Sankara Eye Hospital 
Address  Sankara Eye Hospital Varthur Rd, Vaikuntam Layout, Lakshminarayana Pura, Kundalahalli, Munnekollal, Bengaluru, Karnataka – 560037 
Type of Sponsor  Private hospital/clinic 
 
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 
Gokul Ratakonda Chintamani  Sankara Eye Hospital Bangalore  Varthur Main Rd, Vaikuntam Layout, Lakshminarayana Pura, Kundalahalli, Munnekollal, Bengaluru, Karnataka 560037
Bangalore
KARNATAKA 
91 8069038900

bangalore@sankaraeye.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Comittee of Sankara Eye Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H511||Convergence insufficiency and excess,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  Adults aged 18 - 35 diagnosed with Non-Strabismic Binocular Vision Disorders (NSBVD)

Best corrected visual acuity: 6/6 (distance) and N6 (near) in each eye

Ability to understand and respond to self-report questionnaires in English

No history of strabismus, amblyopia, ocular/systemic pathology, or surgery affecting binocular vision

No significant anisometropia or medications influencing accommodation 
 
ExclusionCriteria 
Details  Amblyopia, nystagmus, or ocular diseases (e.g., glaucoma, retinal pathology)

Neurological or systemic conditions affecting vision

Current or past psychiatric diagnosis that may impair questionnaire response 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To test a mediation model assessing how emotion regulation, rumination, and stress appraisal influence the link between objective clinical outcomes and patients’ perceived improvement after vision therapy.  Baseline (pre-vision therapy) and post-therapy at 8 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To quantify & describe levels of emotion regulation difficulties, rumination, & stress appraisal in patients with NSBVD using validated psychometric instruments.  Baseline, pre vision therapy & post therapy at 8 weeks 
 
Target Sample Size   Total Sample Size="120"
Sample Size from India="120" 
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)   29/12/2025 
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 Yet Recruiting 
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 is a prospective observational pre and post study conducted among adults diagnosed with Non Strabismic Binocular Vision Disorders. The study aims to understand why perceived improvement after routine vision therapy does not always match clinical improvement. Participants aged 18 to 35 years will undergo vision therapy as part of standard clinical care. They will complete questionnaires measuring perceived visual discomfort, emotion regulation, rumination and stress appraisal at baseline and or post therapy. Clinical procedures are not part of the research. The study will analyse whether psychological factors mediate the relationship between clinical improvement and perceived improvement. Findings may help explain individual differences in recovery experience and support a more patient centred approach to vision therapy.


 
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