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CTRI Number  CTRI/2026/03/105785 [Registered on: 10/03/2026] Trial Registered Prospectively
Last Modified On: 08/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing changes in eye power after cataract surgery with and without the use of cautery during the operation 
Scientific Title of Study   A comparative study of surgically induced astigmatism in patients undergoing manual small incision cataract surgery with and without sclera cautery A prospective randomized controlled study 
Trial Acronym  nil 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  ANGEL GRACE MARIE A 
Designation  POST GRADUATE STUDENT  
Affiliation  PONDICHERRY INSTITUTE OF MEDICAL SCIENCES  
Address  Pondicherry Institute of Medical Sciences, Village no.20,Kalatthumettupathai, Ganapathichettikulam, Kalapet, Puducherry

Pondicherry
PONDICHERRY
605014
India 
Phone  7825002275  
Fax    
Email  a.angelgracemarie8@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Amod Hansdak 
Designation  Professor, Department of Ophthalmology 
Affiliation  PONDICHERRY INSTITUTE OF MEDICAL SCIENCES  
Address  Pondicherry Institute of Medical Sciences, Village no.20,Kalatthumettupathai, Ganapathichettikulam, Kalapet, Puducherry

Pondicherry
PONDICHERRY
605014
India 
Phone  9797572275  
Fax    
Email  a.annieflorencemary@gmail.com  
 
Details of Contact Person
Public Query
 
Name  ANGEL GRACE MARIE A 
Designation  POST GRADUATE STUDENT 
Affiliation  PONDICHERRY INSTITUTE OF MEDICAL SCIENCES  
Address  Department of Ophthalmology, Pondicherry Institute of Medical Sciences, Village no.20,Kalatthumettupathai, Ganapathichettikulam, Kalapet, Puducherry

Pondicherry
PONDICHERRY
605014
India 
Phone  7825002275  
Fax    
Email  a.angelgracemarie8@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  PONDICHERRY INSTITUTE OF MEDICAL SCIENCES  
Address  Department of Ophthalmology, PONDICHERRY INSTITUTE OF MEDICAL SCIENCES, Kalathumettupathai, GANAPATHICHETTIKULAM , KALAPET, village 20, Puducherry- 605014, India 
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 
ANGEL GRACE MARIE A  Pondicherry Institute of Medical Sciences   Pondicherry Institute of Medical Sciences, Department of Ophthalmology, Village no.20,Kalatthumettupathai, Ganapathichettikulam, Kalapet, Puducherry-605014
Pondicherry
PONDICHERRY 
07825002275

a.angelgracemarie8@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PIMS INSTITUTE ETHICS COMMITTEE  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 
Intervention  CAUTERY   COMPARISON OF SURGICAL INDUCED ASTIGMATISM USING KERATOMETRY WITHOUT SCLERAL CAUTERY IN GROUP 1 (NO.62) AND WITH USING CAUTERY IN GROUP 2 (NO.2) 
Comparator Agent  Without cautery   COMPARISON OF SURGICAL INDUCED ASTIGMATISM USING KERATOMETRY WITHOUT SCLERAL CAUTERY IN GROUP 1 (NO.62) AND WITH USING CAUTERY IN GROUP 2 (NO.2) 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1. Nuclear sclerosis grading 1-3 undergoing MSICS
2. Age more than 18 years
3. Patients having comorbidities like diabetes, hypertension, bronchial asthma are included 
 
ExclusionCriteria 
Details 
1. Patients with preexisting corneal pathology, complicated cataract, glaucoma and uveitis
2. Patients with any previous ocular surgery or trauma in the same eye
3. Patients who require suturing during surgery
Patients with advanced cataract
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Primary objectives: To determine amount of Surgically-induced astigmatism with and without scleral cautery in patients undergoing manual small incision cataract surgery.  At baseline, 1st postoperative day, 7TH postoperative day 
 
Secondary Outcome  
Outcome  TimePoints 
Secondary objectives To study the effect of other factors like age, gender & comorbidities on postoperative outcomes
 
At Baseline, 1st postoperative day, 7TH postoperative day
 
 
Target Sample Size   Total Sample Size="124"
Sample Size from India="124" 
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 
Date of First Enrollment (India)   20/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  20/03/2026 
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   This study is a prospective randomised control trial comparing the surgically induced astigmatism in 2 groups of patients who are undergoing manual small incision cataract surgery with and without cataract surgery. group -1 (no.62) patients undergoing manual small incision cataract surgery without scleral cautery and group -2 patients undergoing manual small incision cataract surgery with scleral cautery. Surgically induced astigmatism will be measured through keratometry preoperatively, on POD-1 and POD -7. The findings of this study may provide evidence regarding the necessity of scleral cautery in MSICS and its impact on postoperative visual outcomes, thereby helping optimize surgical technique and improving patient rehabilitation 
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