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CTRI Number  CTRI/2026/01/100376 [Registered on: 06/01/2026] Trial Registered Prospectively
Last Modified On: 24/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   Can Basic Eye Exams Indicate Brain Recovery Following a Brain Aneurysm Bleed? Research on how eye responses might predict neurological results in individuals with subarachnoid bleed.-THE OPTICS STUDY 
Scientific Title of Study   AutOmated Pupillometry and OpTic nerve sheath dIameter for prediCtion of neurological outcome in patients with aneurysmal Subarachnoid hemorrhage– the OPTICS study 
Trial Acronym  OPTICS STUDY 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR RICHA PARIHAR 
Designation  SENIOR RESIDENT( ACADEMIC) 
Affiliation  ALL INDIA INSTITUE OF MEDICAL SCIENCES NEW DELHI 
Address  Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029
Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029
New Delhi
DELHI
110029
India 
Phone  7697220212  
Fax    
Email  richaparihar2807@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR Charu Mahajan 
Designation  Professor 
Affiliation  ALL INDIA INSTITUE OF MEDICAL SCIENCES NEW DELHI 
Address  Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029
Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029
New Delhi
DELHI
110029
India 
Phone  7042132730  
Fax    
Email  charushrikul@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR RICHA PARIHAR 
Designation  SENIOR RESIDENT( ACADEMIC) 
Affiliation  ALL INDIA INSTITUE OF MEDICAL SCIENCES NEW DELHI 
Address  Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029
Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029
New Delhi
DELHI
110029
India 
Phone  7697220212  
Fax    
Email  richaparihar2807@gmail.com  
 
Source of Monetary or Material Support  
AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029 India 
 
Primary Sponsor  
Name  AIIMS 
Address  Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029 India 
Type of Sponsor  Research institution and hospital 
 
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 
RICHA PARIHAR  AIIMS  Department of Neuroanaesthesiology and Neurocritical care, AIIMS ,Sri Aurobindo marg, Ansari Nagar East, New Delhi 110029 India
New Delhi
DELHI 
7697220212

richaparihar2807@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
aiims ethics commitee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: G939||Disorder of brain, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  nil  nil 
Comparator Agent  nil  nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  80.00 Year(s)
Gender  Both 
Details  a) Adult patients (more than 18 years) with a confirmed diagnosis of aSAH
b) less than 5 days of ictus
c) Able to undergo non-invasive testing ONSD measurement and AP.

 
 
ExclusionCriteria 
Details  a) Pre-existing eye diseases or optic nerve pathology (e.g., optic neuritis, glaucoma).
b) more than 5 days of ictus
c) Requirement for immediate surgery or interventions that prevent non-invasive testing.
d) Pregnancy.
e) Significant comorbidities, such as terminal cancer, that would complicate the study’s outcome measures
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Extended Glasgow outcome scale [GOSE]) at discharge from hospital and at 3 months post aSAH  Extended Glasgow outcome scale [GOSE]) at discharge from hospital and at 3 months post aSAH 
 
Secondary Outcome  
Outcome  TimePoints 
1. Mortality within 30 days of aSAH.

2. Delayed cerebral ischemia or vasospasm as detected on imaging or clinical examination.

3. Influence of confounding variables (age, gender, grades of aSAH, comorbidities, timing of measurement, hydrocephalus, Vasospasm, DCI, infarct) on predictive accuracy of ONSD & Pupillometry.
 
30 days 
 
Target Sample Size   Total Sample Size="110"
Sample Size from India="110" 
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)   15/01/2026 
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="0"
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  

All participants in our study will be evaluated for various demographic parameters, such as age, gender, and comorbidities. Consciousness will be evaluated using the GCS and pupil reactivity will also be assessed. Physiological metrics (including Mean Arterial Pressure (MAP), Heart Rate (HR), Respiratory Rate (RR), and Oxygen Saturation (SpO2)), along with laboratory parameters such as blood glucose levels, serum sodium, and PaCo2 levels, will be documented.

In addition, other parameters like the timing of ictus, grades of subarachnoid hemorrhage (including Hunt and Hess grade, modified Fischer’s grade, and WFNS grade), pupillary reactivity, presence of hydrocephalus, insertion of external ventricular drain and vasospasm will be recorded.

Measurements of Optic Nerve Sheath Diameter (ONSD) will be conducted alongside. Automated Pupillometry (AP) measurements. These assessments will occur at baseline, as well as at 24 hours, 48 hours, and on 72 hours following admission, with trends being carefully documented. The patient’s outcome will be assessed by extended Glasgow outcome scale (GOSE) at discharge from the hospital and telephonically 3 months after the ictus.

 
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