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CTRI Number  CTRI/2025/10/096085 [Registered on: 15/10/2025] Trial Registered Prospectively
Last Modified On: 07/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Non-randomized, Active Controlled Trial 
Public Title of Study   A Study Comparing Different Eye Protection Gels Used During Cataract Surgery in Diabetic Patients 
Scientific Title of Study   Comparative Study Of Surgical Outcomes Using Different Viscoelastic Agents In Topical Phacoemulsification Among Diabetic Patients With Cataracts At A Tertiary Care Centre 
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 Savsani Varnil Rajeshbhai 
Designation  Postgraduate Student  
Affiliation  Datta Meghe Institute of Higher Education & Research 
Address  Department Of Ophthalmology, Ground Floor, AVBRH building, Sawangi (Meghe)

Wardha
MAHARASHTRA
442001
India 
Phone  7575858880  
Fax    
Email  varnil99@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sachin Daigavane 
Designation  Professor And Head Department Of Ophthalmology  
Affiliation  Datta Meghe Institute of Higher Education & Research 
Address  Department Of Ophthalmology, Ground Floor, AVBRH building, Sawangi (Meghe)

Wardha
MAHARASHTRA
442001
India 
Phone  9021736568  
Fax    
Email  hod.ophthalmologyjnmc@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Sachin Daigavane 
Designation  Professor and Head Department Of Ophthalmology  
Affiliation  Datta Meghe Institute of Higher Education & Research 
Address  Department Of Ophthalmology, Ground Floor, AVBRH building, Sawangi (Meghe)

Wardha
MAHARASHTRA
442001
India 
Phone  9021736568  
Fax    
Email  hod.ophthalmologyjnmc@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of Higher Education and Research, Sawangi Meghe, Wardha, Maharashtra, India 442001 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research 
Address  Sawangi(meghe), Wardha, India 442001 
Type of Sponsor  Private medical college 
 
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 
Dr Savsani Varnil Rajeshbhai   Acharya Vinoba Bhave Rural Hospital  Room number 24,Department of Ophthalmology, ground floor, A block, Sawangi Meghe,Wardha,Maharashtra,India442001
Wardha
MAHARASHTRA 
7575858880

varnil99@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee DMIHER  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H259||Unspecified age-related cataract,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Hypromellose Ophthalmic Solution USP (Hyprosol)  Hypromellose Ophthalmic Solution (Hyprosol) is a dispersive viscoelastic agent administered intraoperatively into the anterior chamber via a sterile cannula under topical anesthesia. It has lower molecular weight and viscosity compared to cohesive agents, allowing it to spread evenly within the anterior chamber. This property makes it particularly effective in coating and protecting delicate ocular tissues, such as the corneal endothelium, during surgery. By reducing surface tension and adhering to intraocular structures, it enhances surgical precision and minimizes the risk of tissue trauma during maneuvers like capsulorhexis, phacoemulsification, and intraocular lens implantation. 
Intervention  Sodium Hyaluronate Ophthalmic Solution (Hyloject)  Sodium Hyaluronate Ophthalmic Solution (Hylojet) is a prefilled, cohesive viscoelastic agent administered intraoperatively into the anterior chamber under topical anesthesia. Formulated with high molecular weight polymers, it exhibits cohesive properties, forming a single mass that helps maintain anterior chamber depth, stabilize the surgical environment, and protect the corneal endothelium. It facilitates precise surgical maneuvers, including capsulorhexis, phacoemulsification, and intraocular lens (IOL) implantation, thereby enhancing surgical safety and efficiency. 
 
Inclusion Criteria  
Age From  40.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1.Patients with senile cataract and diagnosed diabetes mellitus.

2.Patients willing to give informed consent 
 
ExclusionCriteria 
Details  1.Preoperative glaucoma or IOP more than 20 mmHg.

2.Intraoperative complications like manual dilatation of pupil, posterior capsular rent, sulcus IOL placement.

3.Presence of subluxation, pseudoexfoliation, or other associated ocular/corneal pathology.

4.Previous intraocular surgery in study eye. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Postoperative corneal endothelial cell loss associated with different viscoelastic agents  Pre-Operative, Post-Operative Day 1, Day 15, and 1 Month 
 
Secondary Outcome  
Outcome  TimePoints 
Visual Acuity (Both Uncorrected and Corrected Visual Acuity)  Pre-Operative, Post-Operative Day 1, Day 15, and 1 Month 
Intraocular Pressure (IOP) Changes  Pre-Operative, Post-Operative Day 1, Day 15, and 1 Month 
Postoperative Complications Related To Viscoelastic Agents  Post-Operative Day 1, Day 15, and 1 Month 
 
Target Sample Size   Total Sample Size="174"
Sample Size from India="174" 
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 3/ Phase 4 
Date of First Enrollment (India)   20/10/2025 
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="2"
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   This is a prospective, comparative, open-label interventional study to evaluate surgical outcomes of different viscoelastic agents in topical phacoemulsification among diabetic patients with cataract at a tertiary care centre. A total of 174 patients (87 in each group) will be included. Group 1 will receive Sodium Hyaluronate Ophthalmic Solution (Hyloject) and Group 2 will receive Hypromellose Ophthalmic Solution USP (Hyprosol) during cataract surgery. The primary outcome is postoperative corneal endothelial cell loss. Secondary outcomes include visual recovery, intraocular pressure changes, and postoperative complications. The study duration will be 2 years. 
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