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CTRI Number  CTRI/2019/01/017149 [Registered on: 17/01/2019] Trial Registered Prospectively
Last Modified On: 16/01/2019
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Other (Specify) [use of small and medium sized cones in relax smile patients for docking]  
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Comparison of outcomes in patients undergoing SMILE surgery for refractive errors using two different cones 
Scientific Title of Study   Comparison of clinical outcomes and visual quality using medium versus small cone in patients undergoing Relex Smile with large corneal diameters 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sri Ganesh 
Designation  MS DNB CMD Nethradhama Super-speciality eye hospital 
Affiliation   
Address  #256/14 kanakpura main road 7th block Jayanagar Bangalore 560070

Bangalore
KARNATAKA
560070
India 
Phone    
Fax    
Email  phacomaverick@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Sri Ganesh 
Designation  MS DNB CMD Nethradhama super-speciality eye hospital 
Affiliation  Nethradhama Superspeciality Eye Hospital 
Address  #256/14 kanakpura main road 7th block Jayanagar bangalore 560070

Bangalore
KARNATAKA
560070
India 
Phone    
Fax    
Email  phacomaverick@gmail.com  
 
Details of Contact Person
Public Query
 
Name  dr sri ganesh 
Designation  chairman and md nethradhama superspeciality eye hospital 
Affiliation  Nethradhama Superspeciality Eye Hospital 
Address  #256/14 kanakpura main road 7th block Jayanagar bangalore 560082

Bangalore
KARNATAKA
560082
India 
Phone    
Fax    
Email  phacomaverick@gmail.com  
 
Source of Monetary or Material Support    
Primary Sponsor  
Name  Dr Sri Ganesh 
Address  256/14 Kanakapura main road Jayanagar 7th block Bengaluru 
Type of Sponsor  Private hospital/clinic 
 
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 Sri Ganesh  Nethradhama Superspeciality eye hospital  #256/14, Kanakapura main road, Jayanagar 7th block
Bangalore
KARNATAKA 
9845129740

phacomaverick@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Nethradhama Superspeciality eye hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H521||Myopia, (2) ICD-10 Condition: H526||Other disorders of refraction,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  medium cone  medium cone during smile 
Comparator Agent  small cone  small cone during SMILE 
 
Inclusion Criteria  
Age From  21.00 Year(s)
Age To  40.00 Year(s)
Gender  Both 
Details  1.patients with myopia with or without astigmatism
2.manifest spherical equivalent between 3-10 diopters
3.stable refraction of less than 0.50 D change in last 1 year
4.white to white diameter more than or equal to 12 mm
5.cdva of 6/6 0r better in both eyes
6.residual stroll bed thickness of 280 micron or more
7.ability to understand and willingness to sign inform consent and participate in follow up visits 
 
ExclusionCriteria 
Details  1.patient not able to lie in horizontal position
2.patient not able to understand and give informed consent
3.significant dry eye or lid and adnexal disease
4.herpes viral infection
5.diabetes
6.pregnant or nursing women
7.patients with a weight of more than 135kg
8.treatment with systemic medication which influence wound healing
9.medication with the active substance isotretinoin
10.previous intraocular or corneal surgery
11.disorder of cornea
12.keratoconus
13.corneal dystrophies
14.corneal scars
15.cataract
16.glaucoma suspect
17.patients with unstable refractive error
18.anisometropia of 2D or more
19.residual stroll bed thickness less than 250 micron
20.patient who have undergone cataract surgery
21.age related macular degeneration 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Case Record Numbers 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
clinical outcome and visual quality (time frame : pre-operative visit,1st day,15 days and 3months follow-up
uncorrected visual acuity (time frame :pre-operative,1 day,15 day & 3months follow-up)
best corrected visual acuity (time frame: 1 day , 15 day & 3months follow-up)
A lower LogMAR value indicates better visual acuity
lower OSI value indicates better visual quality 
pre-operative visit,1st day,15 day & 3 months follow-up 
 
Secondary Outcome  
Outcome  TimePoints 
Any adverse events  day 1, day 15, 3months 
 
Target Sample Size   Total Sample Size="30"
Sample Size from India="30" 
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)   18/01/2019 
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="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   1 Maurice DM. The structure and transparency of the cornea. J Physiol (Lond) 1957;136:263–86. 2 Hart RW, Farrell RA. Light scattering in the cornea.J Opt Soc Am 1969;59:766–74. 3 Feuk T. On the transparency of the stroma in the mammalian cornea. IEEE Trans Biomed Eng 1970;17:186–90. 4 Cox JL, Farrell RA, Hart RWet al. The transparency of the mammalian cornea. J Physiol (Lond) 1970;210:601–16. 5 Benedek GB. Theory of transparency of the eye. Appl Optics 1971;10:459–73. 6 Twersky V. Transparency of pair-related, random distribution of small scatterers, with applications to the cornea. J Opt Soc Am 1975;65:524–30. 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   The present contralateral eye study would be conducted with the aim of assessing the outcomes and visual quality using medium versus small sized cone for docking during the procedure of Relex Smile with large corneal diameters for myopia correction .moreover ,to compare clinical outcomes including immediate visual quality, contrast sensitivity, aberrations,corneal biomechanics and patient satisfaction

 Thirty patients fulfilling the inclusion criteria will be enrolled in the study.righ and left eye of the patient will be randomised into two groups ,in one eye medium sized cone and other eye small sized cone will be used .energy parameters in both eyes will be same

Post surgery patients will be followed up on day 1 , 2 weeks and 3 months , the pre -operative investigations will be repeated during the follow up visits and adverse events will be documented and duly informed to Ethics Committee.

 
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