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CTRI Number  CTRI/2026/01/102627 [Registered on: 30/01/2026] Trial Registered Prospectively
Last Modified On: 30/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Preventive
Screening
Other (Specify) [Home Based Vision Therapy]  
Study Design  Single Arm Study 
Public Title of Study   School Screening Program for visual disorders and effect of home based vision therapy as management. 
Scientific Title of Study   Optometric Screening Program for Evaluating Visual Health Anomalies and Effectiveness of Home-Based Vision Therapy among Urban and Rural School Children 
Trial Acronym  Nil 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Reshma Ramakrishnan 
Designation  Professor, Department of Ophthalmology, MGM Medical College and Hospital, Kamothe, Navi Mumbai. 
Affiliation  MGM Institute of Health Sciences, Kamothe, Navi Mumbai. 
Address  Department of Ophthalmology, MGM Medical College and Hospital, Kamothe, Navi Mumbai. MGM Institute of Health Sciences, MGM Campus, Sector 1, Kamothe, Navi Mumbai-410209, MAHARASHTRA STATE (INDIA)

Raigarh
MAHARASHTRA
410209
India 
Phone  9930007490  
Fax    
Email  anandreshma@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Reshma Ramakrishnan 
Designation  Professor, Department of Ophthalmology, MGM Medical College and Hospital, Kamothe, Navi Mumbai. 
Affiliation  MGM Institute of Health Sciences, Kamothe, Navi Mumbai. 
Address  Department of Ophthalmology, MGM Medical College and Hospital, Kamothe, Navi Mumbai. MGM Institute of Health Sciences, MGM Campus, Sector 1, Kamothe, Navi Mumbai-410209, MAHARASHTRA STATE (INDIA)

Raigarh
MAHARASHTRA
410209
India 
Phone  9930007490  
Fax    
Email  anandreshma@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Soniya Salve 
Designation  PhD Scholar 
Affiliation  MGM School of Biomedical Sciences, MGM Institute of Health Sciences, Kamothe, Navi Mumbai. 
Address  Department of Optometry, MGM School of Biomedical Sciences, MGM Institute of Health Sciences, MGM Campus, Sector 1, Kamothe, Navi Mumbai-410209, MAHARASHTRA STATE (INDIA)

Raigarh
MAHARASHTRA
410209
India 
Phone  7021741970  
Fax    
Email  soniyasalve1999@gmail.com  
 
Source of Monetary or Material Support  
MGM Institute of Health Sciences, Kamothe, Navi Mumbai. 
 
Primary Sponsor  
Name  Dr. Reshma Ramakrishnan 
Address  Department of Ophthalmology, MGM Medical College and Hospital, MGM Institute of Health Sciences MGM Campus, Sector 1, Kamothe, Navi Mumbai-410209, MAHARASHTRA STATE (INDIA) 
Type of Sponsor  Other [Self] 
 
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 Reshma Ramakrishnan  MGM Medical College and Hospital, MGM IHS, Kamothe, Navi Mumbai.  Department of Ophthalmology and Department of Optometry, MGM Institute of Health Sciences, PLOT NUMBER 1 & 2 ,KALAMBOLI CIRCLE , MGM CAMPUS KAMOTHE , PANVEL MUNICIPAL CORPORATION ,KAMOTHE , PANVEL , Pincode:410206
Raigarh
MAHARASHTRA 
9930007490

anandreshma@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Ethical Committee of Research on Human Subjects of MGM Institute of Health Sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Non Strabismic Binocular Vision Dysfunction (NSBVD) 
Patients  (1) ICD-10 Condition: H533||Other and unspecified disorders ofbinocular vision,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Home Based Vision Therapy  Home Based Vision Therapy will be given 3 days a week with duration of 30 mins for 3 months as a management modality for visual discomfort 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  10.00 Year(s)
Age To  16.00 Year(s)
Gender  Both 
Details  1. School children in the age group of (5th - 9th)
std 1O - 16 years.
2. School children of either gender.
3. School children with consent provided by parent’s
approval.
 
 
ExclusionCriteria 
Details  1. School children with known neurological
disorder or systemic diseases (acute and
chronic) that impact vision.
2. School children with previously diagnosed
binocular vision disorders, or prior vision
therapy on treatment.
3. School children with active ocular infection
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
1. Prevalence of visual health
anomalies among urban and
rural schools.
2. Comparison of visual health
anomalies among urban and
rural schools.
3. Effectiveness of
Home Based Vision Therapy
for Non Strabismic
Binocular Vision Disorder
(NSBVD).
4. Teacher’s
perspective about children
eye health among urban and
rural schools using
structured questionnaire.
5. Reading habits and digital
devices usage among urban
and rural school children
using structured
questionnaire.
 
12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
1. Distribution of visual
health anomalies.
2. Distribution and pattern of
visual health anomalies
among urban and rural
school.
3. Changes in visual symptoms
after providing Home Based
Binocular Vision Therapy.
4. Association of Teacher’s
perspective about children
eye health among urban and
rural schools using
structured questionnaire.
5. Association of Reading
habits and digital
devices usage among urban
and rural school children
using structured
questionnaire.
 
12 weeks 
 
Target Sample Size   Total Sample Size="40"
Sample Size from India="40" 
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)   01/03/2026 
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="1"
Months="9"
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   A rise in non-strabismic accommodative and vergence dysfunctions has been noticed. The core element of child’s educational experience is the ability to learn through reading. This learning process involves both accommodative and vergence mechanisms, and an imbalance in sensory-motor integration can lead to non-strabismic accommodative and/or binocular vision disorders (NSBVD). Therefore, any abnormalities in the visual system can adversely affect children’s cognitive development and their educational progress. It is commonly seen in school-aged children, particularly high school students who have greater demands on their accommodative and vergence systems.
A significant number of Ocular anomalies are treatable and often preventable. Globally the prevalence of Uncorrected Refractive error, Strabismus, Amblyopia, Anterior and Posterior segment abnormality has been seen increasing hampering their overall development and social life. While diminished visual clarity may be identified during school eye examinations, general binocular dysfunctions, including near vision blurriness, headaches, eye strain, difficulties in comprehension and concentration, or the tendency to reread the same line, are more challenging to detect.
Pediatric vision screening aims at identifying potential visual risk factors that could hinder the growth and development of the eye and visual system in children. Since many ocular issues can be asymptomatic, vision screening plays a vital role in detecting visual disorders in children who do not show any signs of disease or impairment, thus allowing for early diagnosis and treatment, and reducing the potential negative impact of untreated conditions on visual development and educational and social progress. 

Vision therapy is a customised therapy provided to improve visual skills specifically in condition such as eye movement disorders, binocular vision problems, and visual processing difficulties. Vision therapy can help improve symptoms of conditions like convergence insufficiency, amblyopia, and strabismus. Vision Therapy helps to enhance visual performance.
This study aims to evaluate visual risk factor and will also help to understand ocular anomalies among urban and rural school children


 

 
 
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