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CTRI Number  CTRI/2008/091/000121 [Registered on: 04/08/2008]
Last Modified On:
Post Graduate Thesis   
Type of Trial   
Type of Study    
Study Design  Other 
Public Title of Study   FIXATION PREFERENCE TO ASSESS VISION OF STRABISMIC CHILDREN. 
Scientific Title of Study   Evaluation of CSM (Central, Steady, Maintained) fixation Grading for Predicting Inter-eye Visual Acuity Difference to Diagnose and Treat Amblyopia in Strabismic Patients.  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR MIHIR KOTHARI 
Designation   
Affiliation   
Address  JYOTIRMAY EYE CLINIC, 205 GANATRA ESTATE,
KHOPAT
Thane
MAHARASHTRA
400601
India 
Phone  91-22-25067173  
Fax    
Email  drmihirkothari@jyotirmay.com  
 
Details of Contact Person
Scientific Query
 
Name  DR MIHIR KOTHARI 
Designation   
Affiliation   
Address  JYOTIRMAY EYE CLINIC, 205 GANATRA ESTATE,
KHOPAT
Thane
MAHARASHTRA
400601
India 
Phone  91-22-25067173  
Fax    
Email  drmihirkothari@jyotirmay.com  
 
Details of Contact Person
Public Query
 
Name  DR MIHIR KOTHARI 
Designation   
Affiliation   
Address  JYOTIRMAY EYE CLINIC, 205 GANATRA ESTATE,
KHOPAT
Thane
MAHARASHTRA
400601
India 
Phone  91-22-25067173  
Fax    
Email  drmihirkothari@jyotirmay.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  NIL 
Address   
Type of Sponsor   
 
Details of Secondary Sponsor  
Name  Address 
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 MIHIR KOTHARI  JYOTIRMAY EYE CLINIC  205 GANATRA ESTATE,KHOPAT-400601
Thane
MAHARASHTRA 
91-22-25478081

DRMIHIRKOTHARI@JYOTIRMAY.COM 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
NIL (THIS STUDY IS DONE BY A CLINICIAN SOLO PRIVATE PRACTICE) IT FOLLOWS THE CRITERIA OF DECLARATION OF HELSINIKI  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  AMBLYOPIA, SQUINT,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL   
Comparator Agent  NIL   
 
Inclusion Criteria  
Age From   
Age To   
Gender   
Details  CHILDREN AGED 5-16 YEARS, with manifest, horizontal, comitant deviation more than 10PD 
 
ExclusionCriteria 
Details  PREVIOUSLY OPERATED FOR SQUINT, NYSTAGMUS, OTHER OCLUAR COMORBIDITY, BCVA IN BETTER EYE <6/9 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Other 
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
INTER EYE VISUAL ACUITY DIFFERENCE  IMMEDIATE (CROSS SECTION STUDY) 
 
Secondary Outcome  
Outcome  TimePoints 
NONE   
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="" 
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)   Date Missing 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  31/03/2007 
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)   Open to Recruitment 
Recruitment Status of Trial (India)   
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary   This prospective masked observational cohort study would be performed in the department of Pediatric Ophthalmology and Strabismus of a tertiary teaching eye hospital. An optometrist would record the best-corrected distance visual acuity on a 6 meter Snellen?s chart. A masked, fellowship trained, Pediatric Ophthalmologist would then perform a detailed ophthalmic examination including the evaluation of the fixation behavior. The fixation behavior would be evaluated by having the patient fixate on an accommodative target held at 40cm and with best correction in place. The fixation would be graded as central, steady and maintained CSM), unmaintained (CSUM) or central, unsteady, unmaintained (CUSUM) or as uncentral, unsteady and unmaintained (UCUSUM) or wandering fixation. Amblyopia would be defined as the inter-eye acuity difference of > 0.2 LogMAR. Snellen Acuity would be converted to the LogMAR value and range of visual acuity, median visual acuity and standard deviation for each grade of fixation would be calculated. Sensitivity, specificity and predictive values for the diagnosis of amblyopia using CSM grading would be calculated from the Bayesian tables. Two-tailed Student?s t-test would be used to determine the statistical significance.  
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