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CTRI Number  CTRI/2019/08/020537 [Registered on: 05/08/2019] Trial Registered Prospectively
Last Modified On: 02/12/2020
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Light (Color temperature, CRI)]  
Study Design  Non-randomized, Multiple Arm Trial 
Public Title of Study   comparison of changes in lens inside the eye and color seen by the eye under various lighting conditions 
Scientific Title of Study   COMPARISON OF ACCOMMODATION AND COLOR VISION AT VARIOUS LEVELS OF LED CORRELATED COLOR TEMPERATURES 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Binu Sudheer 
Designation  Master Student 
Affiliation  Manipal Academy of Higher Education (MAHE) 
Address  M.Optometry, 2nd year, 3rd semester (Roll No:181141001),Department of Optometry, Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE), Manipal
Manipal Academy of Higher Education (MAHE),Manipal,Karnataka
Udupi
KARNATAKA
576104
India 
Phone  8217044248  
Fax    
Email  binusudheer2@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shailesh KR 
Designation  Assistant Professor  
Affiliation  Manipal Academy of Higher Education (MAHE), Manipal 
Address  Assistant Professor Department of Electrical and Electronics Manipal Institute of Technology MAHE,Manipal
Manipal Academy of Higher Education(MAHE),Manipal,Karnataka
Udupi
KARNATAKA
576104
India 
Phone  8050112974  
Fax    
Email  shailesh.kr@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Radhika 
Designation  Assistant Professor  
Affiliation  Manipal Academy of Higher Education(MAHE) 
Address  Assistant Professor Department of Optometry MAHE,Manipal
Manipal Academy of Higher Education(MAHE),Manipal,Karnataka
Udupi
KARNATAKA
576104
India 
Phone  8217044248  
Fax    
Email  radhika.pu@mnaipal.edu  
 
Source of Monetary or Material Support  
Department of Optometry (MCHP),Manipal Academy of Higher Education,Manipal,Karnataka-576104 
Department of Electricals and Electronics (MIT),Manipal Academy of Higher Education,Manipal,Karnataka-576104 
 
Primary Sponsor  
Name  Binu Sudheer 
Address  7-1-D1 Anupama House Vittalwadi, Parkala,Udupi Taluk and District-576107, Karnataka 
Type of Sponsor  Other [Self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 2  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Radhika RP  Manipal College of Health Science  Preclinical Lab (Store room),Department of Optometry,3rd Floor,Manipal College of Health Professions (MCHP), Manipal Academy of Higher Education (MAHE),Manipal-576104, Udupi Taluk and District,Karnataka
Udupi
KARNATAKA 
8277412069

radhika.pu@manipal.edu 
Dr Shailesh KR  Manipal Institute of Technology  Ground floor, Electrical and Electronics Department,Manipal Institute Technology (MIT), Manipal Academy of Higher Education (MAHE),Manipal-576104, Udupi Taluk and District,Karnataka
Udupi
KARNATAKA 
8050112974

shailesh.kr@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committiee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Ocular accomodation,Color vision, Pupil size.  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Light  Sunlight(Color temperature range-2700 to 6500Kelvin) 
Intervention  Light (Color Temperature(Color) and Lux Level (Brightness)) Tunable  YEE (Light) Tunable (Xiaomi Company). Model No: YLDP05YL.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Both 
Details  1. Age 18 to 35 years
2. Not on any medications
3. No diplopia reported during the ocular motility test
4. Near point of convergence (RAF rule) ≤ 10cm
5. Amplitude of accommodation (push up RAF rule) normal for age (greater than 10D)
6. Stereo acuity (Titmus circles) of < 80 seconds of arc
7. Normal red/green colour vision (Ishihara)
8. Astigmatism of < 0.75DC
9. Visual acuity of at least 6/6 in each eye
10. Cover test of < 5Δ horizontal phoria and < 0.5Δ vertical phoria

 
 
ExclusionCriteria 
Details  • Any known ocular pathology
• Binocular vision anomalies
• Systemic diseases affecting vision
• Any colour vision defects
• Migraine or history of migraine
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Accommodation-Dioptre, Time-Seconds,Color vision-Errors (number),Color Temperature-Kelvin  5 minutes after adaptation to light (Accommodation measurement), next intervals (1 minute accommodation relaxation time is given), then continued on between each intervals for accommodation. For color vision only adaptation time and no accommodation relaxation time.Total timing of 2 hours per subject. 
 
Secondary Outcome  
Outcome  TimePoints 
Pupil size-Millimeter,CRI-Color Rendering Index  Pupil size measurement is taken which is done immediately after 5 minutes adaptation time, CRI and color temperature is interrelated and is measured during the lighting setup. 
 
Target Sample Size   Total Sample Size="34"
Sample Size from India="34" 
Final Enrollment numbers achieved (Total)= "34"
Final Enrollment numbers achieved (India)="34" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   12/08/2019 
Date of Study Completion (India) 27/11/2019 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) 27/11/2019 
Estimated Duration of Trial   Years="0"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Completed 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
NIL 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary
Modification(s)  

Testing of accommodation under various colour temperatures gives an idea about the reason behind the accommodation variation, setting up lighting Standards for a clinic , Pupil size change can be related to accommodation, Tunable LED light can be used for colour vision testing and for low vision patient (since it is color temperature tunable). (CCT-Correlated Color Temperature)

Accommodation- MEM Retinoscopy (Monocular estimation method), Negative relative accommodation and Positive relative accommodation, Minus lens method and pupil size is measured by Plus Optix Paediatric Autorefractometer. Color vision in Farnsworth D15 and Ishihara plates. 

Adaptation Time- 5 Minutes , Lux level of 270 lux for farnsworth D15 test, Accommodation testing of 430 lux. Only CCTs which has highest CRI (Color Rendering Index) is selected for color vision testing and changes in accommodation is seen with respect to CRI ,SPD and CCT. 

Here under each 6 lighting conditions, pupil size and accommodative response was measured. Then the other factors like Negative relative accommodation(NRA), Positive relative accommodation(PRA), Minus lens method was measured to prevent visual fatigue. Then at higher CRI (93,93,94) lightings of 5500K, 6500K and 8000K, the color vision testing was done. These were then analyzed using Repeated measures of ANOVA and Pair t test. Then the accommodation and pupil size change was compared with that of under natural light. The natural light measurement was done at MIT ground(Latitude-13.343581, Longitude- 74.794044)  . This then gives idea about the change in accommodative response.  

 Hypothesis testing:

a. Null hypothesis: There is no change in accommodation and color vision with respect to CCT variation

b. Alternate Hypothesis: There is a change in accommodation and color vision with respect to CCT variation

 
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