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CTRI Number  CTRI/2023/07/054918 [Registered on: 06/07/2023] Trial Registered Prospectively
Last Modified On: 06/07/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   To compare the changes in thickness of outermost layer of cornea in Keratoconus patients and normal individuals using CIRRUS HD OCT machine.  
Scientific Title of Study   Assessment of Corneal Epithelial Thickness Mapping in Keratoconus and Normal Eyes using Cirrus HD OCT  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Pooja Patil 
Designation  Primary DNB post MBBS Ophthalmology  
Affiliation  Sankara Eye Hospital  
Address  16-A, room no 31, Department of Cornea, Sankara Eye Hospital, Sivanandhapuram, Sathy road, Ganapathy, Coimbatore (641035)

Coimbatore
TAMIL NADU
641035
India 
Phone  9922558432  
Fax    
Email  poojarpatil26@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Prabhu Vijayaraghavan 
Designation  Senior Cornea Consultant  
Affiliation  Sankara Eye Hospital , Coimbatore  
Address  Department of cornea, room no 31, Sankara Eye Hospital, Sivanandhapuram, Sathy road, Ganapathy, Coimbatore

Coimbatore
TAMIL NADU
641035
India 
Phone  9976488000  
Fax    
Email  drvprabhu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Pooja Patil 
Designation  Primary DNB post MBBS Ophthalmology  
Affiliation  SankaraEye Hospital, COIMBATORE  
Address  Department of cornea, room no 31, Sankara Eye Hospital, Sivanandhapuram, Sathy road, Ganapathy, Coimbatore

Coimbatore
TAMIL NADU
641035
India 
Phone  9922558432  
Fax    
Email  poojarpatil26@gmail.com  
 
Source of Monetary or Material Support  
Room no 31, Department of Cornea, Sankara Eye Hospital Coimbatore-641035 TAMIL NADU INDIA 
 
Primary Sponsor  
Name  Sankara Eye Hospital Coimbatore  
Address  Sankara Eye Hospital, Sivanandhapuram, Sathy road, Ganapathy, Coimbatore  
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 Pooja R Patil  Sankara Eye Hospital Coimbatore   Department of cornea, room no 31, Sankara Eye Hospital, Sivanandhapuram, Sathy road, Ganapathy, Coimbatore
Coimbatore
TAMIL NADU 
9922558432

poojarpatil26@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Sankara Eye Hospital, Coimbatore   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H186||Keratoconus,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  30.00 Year(s)
Gender  Both 
Details  Topographic findings considered as typical for KC, such as corneal thinning, central or inferior steep zone, and asymmetric bowtie with or without skewed axis astigmatism.
Normal healthy eyes will be included as controls. 
 
ExclusionCriteria 
Details  Previous Ocular surgery or trauma.
Associated corneal pathological features.
A history of collagen cross linking, intrastromal corneal ring segment implantation, keratoplasty, or other corneal surgery.
Contact lens wear during the previous 3 weeks.
Pregnant females . 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
To compare the epithelial thickness map changes in keratoconus & normal eyes using Cirrus HD OCT
 
First day of visit (at baseline )
 
 
Secondary Outcome  
Outcome  TimePoints 
To compare the epithelial thickness map changes between two eyes of Keratoconus patients with grossly asymmetrical keratoconus  First day of visit at baseline  
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
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)   14/07/2023 
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="4"
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  
Keratoconus is a bilateral progressive disorder in which central or paracentral corneal stromal thinning occurs, accompanied by apical protrusion and irregular astigmatism.
Approximately 50% of normal fellow eyes will progress to KC within 16 years.
 
The changes of corneal epithelium have been hypothesised to develop in the sub clinical stage of Keratoconus. It is assumed that the corneal epithelium has the ability to change or adapt its thickness, thereby maintaining a smooth corneal surface and masking an already ongoing deconstruction of the corneal storma or an underlying cone.
Consequently, corneal epithelial thickness maps could be used for the early detection of Keratoconus.

Since significant differences in the corneal epithelial thickness profile have been found even in normal eyes, there is need of studies with large sample size in order to understand whether corneal epithelial mapping could be valuable to detect pathologic changes in eyes with Keratoconus.

Optical Coherence Tomography (AS-OCT) is a safe and non-invasive method of high resolution cross sectional imaging for tissue microstructures using infrared radiation. 
 
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