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CTRI Number  CTRI/2026/02/102925 [Registered on: 03/02/2026] Trial Registered Prospectively
Last Modified On: 03/02/2026
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Medications for best results after MIGS 
Scientific Title of Study   Comparison of post-operative cycloplegia, miotics, and no treatment after Minimally Invasive Glaucoma Surgery: A Randomized Controlled Trial. 
Trial Acronym  Post MIGS meds 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sushmita Kaushik 
Designation  Professor 
Affiliation  Post Graduate Institute of Medical Education and Research, Chandigarh 
Address  Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9814813207  
Fax    
Email  sushmita_kaushik@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Sushmita Kaushik 
Designation  Professor 
Affiliation  Post Graduate Institute of Medical Education and Research, Chandigarh 
Address  Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9814813207  
Fax    
Email  sushmita_kaushik@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Sushmita Kaushik 
Designation  Professor 
Affiliation  Post Graduate Institute of Medical Education and Research, Chandigarh 
Address  Advanced Eye Centre, Post Graduate Institute of Medical Education and Research, Sector 12, Chandigarh

Chandigarh
CHANDIGARH
160012
India 
Phone  9814813207  
Fax    
Email  sushmita_kaushika@yahoo.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  NIL 
Address  NO SPONSOR 
Type of Sponsor  Other [NIL] 
 
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 
Sushmita Kaushik  Advanced Eye Centre  Postgraduate Institute of Medical Education and Research, Chandigarh
Chandigarh
CHANDIGARH 
9814813207
0172-2756111
sushmita_kaushik@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee (Intramural), Post Graduate Institute of Medical Education and Research, Chandigarh   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H00-H59||Diseases of the eye and adnexa, (2) ICD-10 Condition: H409||Unspecified glaucoma,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Atropine   Post op after MIGS surgery 
Intervention  MIGS  Minimally invasive glaucoam skurgery 
Comparator Agent  No Drug  PAS after surgery 
Comparator Agent  Pilocarpine  PAS after MIGS surgery 
 
Inclusion Criteria  
Age From  3.00 Month(s)
Age To  80.00 Year(s)
Gender  Both 
Details  Any diagnosed case of glaucoma, undergoing MIGS during the study period. 
 
ExclusionCriteria 
Details  Any patient with blood dyscrasia 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
The change of PAS from baseline
The extent of PAS (in clock hours)
IOP and correlation to PAS
 
Three months 
 
Secondary Outcome  
Outcome  TimePoints 
Intraocular Pressure  3 months 
Reduction in antiglaucoma meds  3 months 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
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 1 
Date of First Enrollment (India)   17/02/2026 
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="0"
Months="3"
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  

 Minimally Invasive Glaucoma Surgeries (MIGS) have developed in recent years. These procedures are characterized by ab-interno microincisions, minimal trauma, a high safety profile, high efficacy, and fast recovery

Although minimally invasive glaucoma surgeries (MIGS) have made significant advancements, they are not without failures. Studies indicate that failure rates for various MIGS procedures can range from 20% to 40%. (9-11) Several factors contribute to these failures, including postoperative intraocular pressure (IOP) spikes and heightened responses to steroids. Additionally, the formation of peripheral anterior synechiae (PAS) may lead to increased IOP after surgery, which can further raise the failure rates of these procedures.

Our study aims to investigate whether the use of cycloplegic drops postoperatively, which keeps the lens-iris diaphragm positioned posteriorly, can reduce the formation of PAS and lower the failure rates in patients undergoing MIGS.

 
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