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CTRI Number  CTRI/2025/10/095785 [Registered on: 09/10/2025] Trial Registered Prospectively
Last Modified On: 09/10/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Single Arm Study 
Public Title of Study   Study in patients with cataract and pterygium to assess improvement in vision and corneal shape after combined cataract and pterygium surgery. 
Scientific Title of Study   Comparative study of pre operative and post operative Astigmatism outcome following Simultaneous Pterygium and Small Incision Cataract Surgery (SICS) 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR AKSHAYA TANDLE  
Designation  Postgraduate student  
Affiliation  DATTA MEGHE INSTITUTE OF HIGHER EDUCATION AND RESEARCH  
Address  Department of Ophthalmology, ground floor, AVBRH building, Sawangi Meghe,Wardha Maharashtra,India

Wardha
MAHARASHTRA
442001
India 
Phone  9820421538  
Fax    
Email  akshayatandle@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 AND RESEARCH  
Address  Department of Ophthalmology, ground floor, AVBRH building, Sawangi Meghe,Wardha Maharashtra,India

Wardha
MAHARASHTRA
442001
India 
Phone  9121736568  
Fax    
Email  drsachin391977@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 AND RESEARCH  
Address  Department of Ophthalmology, ground floor, AVBRH building, Sawangi Meghe,Wardha Maharashtra,India

Wardha
MAHARASHTRA
442001
India 
Phone  9121736568  
Fax    
Email  drsachin391977@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute Of Higher Education And Research,Sawangi, Wardha, India 442001 
 
Primary Sponsor  
Name  DATTA MEGHE INSTITUTE OF HIGHER EDUCATION AND RESEARCH  
Address  Sawangi, 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 Akshaya Tandle   Acharya Vinobha Bhave Rural Hospital   Department of Ophthalmology,Ground floor, AVBRH building,Sawangi Meghe, Wardha
Wardha
MAHARASHTRA 
9820421538

akshayatandle@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: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Preoperative Baseline Parameters   Pre-operative baseline values of the same eye including type and degree of corneal astigmatism, uncorrected and best-corrected visual acuity, and pterygium size/grade. These will serve as comparator against post-operative values at Day 1, Day 15, and Day 30. 
Intervention  Simultaneous Pterygium Excision with Small Incision Cataract Surgery (SICS)  All eligible patients with visually significant cataract and grade 1–2 nasal pterygium will undergo small incision cataract surgery (SICS) with intraocular lens implantation combined with pterygium excision under peribulbar anaesthesia.Duration of intervention is single day surgical procedure,30 to 45 minutes per patient and total duration per participant, including follow up is 30 days.Values will be taken on following days- Baseline that is pre operative, post operative day 1, post operative day 15 and post operative day 30. 
 
Inclusion Criteria  
Age From  35.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1) Patients above 35 years of age
2) Male/Female
3) Patients diagnosed with visually significant cataract & pterygium
4) Patients with grade 1 and grade 2 pterygium
5) Patients with follow up of minimum 1month.
6) Participants who will give the informed consent 
 
ExclusionCriteria 
Details  1) Patients with grade 3, 4 pterygium, any grade of recurrent pterygium, double headed
pterygium and temporal pterygium. 2) Patients with traumatic cataract, developmental cataract, congenital cataract, past refractive
surgeries. 3) Pre-existing diseases such as ocular diseases such as glaucoma or iridocyclitis, ocular
pathologies, retinal pathologies, pre existing opacities and corneal degeneration
4) Non dilating pupil 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Primary Outcome:
Change in type and amount of corneal astigmatism  
Baseline(Preoperative), post operative day 1, day 15 and day 30 
 
Secondary Outcome  
Outcome  TimePoints 
Secondary Outcomes
1. Correlation between size/extent of pterygium and pre-operative astigmatism
2. Change in uncorrected visual acuity (UCVA) and best corrected visual acuity (BCVA)
3. Patient satisfaction with visual outcome
4. Incidence and types of complications affecting visual acuity and astigmatism outcomes 
Baseline(Preoperative),post operative day 1, day 15 and day 30 
 
Target Sample Size   Total Sample Size="88"
Sample Size from India="88" 
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)   01/11/2025 
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="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   Prospective comparative study to evaluate outcomes of simultaneous pterygium excision with small incision cataract surgery (SICS).
Eighty-eight patients with visually significant cataract and grade 1–2 pterygium will be included.
Preoperative evaluation: visual acuity, refraction, keratometry, axial length, intraocular pressure.
Surgery: SICS with pterygium excision under peribulbar anesthesia.
Follow-up: Day 1, Day 15, Day 30.
Primary outcome: change in type and degree of corneal astigmatism.
Secondary outcomes: correlation of pterygium size with astigmatism, improvement in uncorrected and best corrected visual acuity, patient satisfaction, intra- and postoperative complications.
The study will assess refractive stability and visual results of simultaneous surgery to guide clinical decision making.
 
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