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CTRI Number  CTRI/2023/07/055833 [Registered on: 28/07/2023] Trial Registered Prospectively
Last Modified On: 20/10/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Surgical/Anesthesia 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   The purpose of the study is to check the position of the lens placed in eye after cataract surgery with new technique of image guided system. 
Scientific Title of Study   Comparison of toric intraocular lens alignment with intraoperative image guided system and conventional manual marking method- A randomized clinical trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Amit Nandan Tripathi 
Designation  Resident Ophthalmology 
Affiliation  Command Hospital(Eastern command)  
Address  Department of Ophthalmology Command Hospital(Eastern Command) Alipore Kolkata

Kolkata
WEST BENGAL
700027
India 
Phone  7307337090  
Fax    
Email  livelyamit@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Lt Col (Dr) Santosh Kumar 
Designation  Professor 
Affiliation  Command Hospital(Eastern command)  
Address  Department of Ophthalmology Command Hospital(Eastern Command) Alipore Kolkata

Kolkata
WEST BENGAL
700027
India 
Phone  9602906343  
Fax    
Email  santo21051977@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Amit Nandan Tripathi 
Designation  Resident Ophthalmology 
Affiliation  Command Hospital(Eastern command)  
Address  Department of Ophthalmology Command Hospital(Eastern Command) Alipore Kolkata

Kolkata
WEST BENGAL
700027
India 
Phone  7307337090  
Fax    
Email  livelyamit@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Command Hospital Eastern Command 
Address  Command Hospital (Eastern Command) Alipore Kolkata-700027 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Amit Nandan Tripathi  Command Hospital (Eastern Command)  Room No 3 Department of Ophthalmology
Kolkata
WEST BENGAL 
7307337090

livelyamit@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
COMMAND HOSPITAL(EC) INSTUTIONAL ETHICAL COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H251||Age-related nuclear cataract, (2) ICD-10 Condition: O||Medical and Surgical,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Toric intraocular lens alignment using conventional manual marking method.  Patient with cataract and concomitant astigmatism 1.25 D or more will undergo toric intraocular lens alignment using conventional manual marking using bubble marker for 30 min 
Intervention  Toric intraocular lens alignment using intraoperative image guided system.  Patient with cataract and concomitant astigmatism 1.25 D or more will undergo toric intraocular lens alignment using image guided Calisto eye and Z align image guided system for 30 min 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1. Patient undergoing cataract surgery aged 18 years and above.
2. Pre op astigmatism > 1.25 D 
 
ExclusionCriteria 
Details  1.Any corneal/limbal pathology
2.Uveitis
3.Squint and Amblyopia
4.Pre-existing glaucoma
5.Retinal pathology
6.Irregular astigmatism
7.Pupil dilatation< 5mm
8.Eye requiring suture to seal the corneal incission at the end of surgery  
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Difference in toric intraocular lens misalignment between intraoperative image guided system & conventional manual marking method will be accessed on post op day 1 and day 30.  Day 1,Day 30 
 
Secondary Outcome  
Outcome  TimePoints 
To measure residual refractive cylinder & best corrected visual acuity.  Day 30 
 
Target Sample Size   Total Sample Size="76"
Sample Size from India="76" 
Final Enrollment numbers achieved (Total)= "76"
Final Enrollment numbers achieved (India)="76" 
Phase of Trial   Post Marketing Surveillance 
Date of First Enrollment (India)   07/08/2023 
Date of Study Completion (India) 20/09/2024 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary
Modification(s)  
Toric intraocular lenses (IOL) have become the choice to correct corneal astigmatism of 1D or more in cases undergoing cataract surgery. Intraoperative toric intraocular lens alignment were initially done using conventional manual marking methods. However, with a recently introduced digital marking system, toric intraocular lens can be aligned without preoperative manual marking.
The primary objective of this study is to measure difference in toric intraocular lens misalignment between intraoperative image guided system and conventional manual marking method.
 
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