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CTRI Number  CTRI/2024/04/066108 [Registered on: 23/04/2024] Trial Registered Prospectively
Last Modified On: 22/04/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   A clinical study to compare the effect of pupil dilating drops v/s injectable drugs in cataract surgery 
Scientific Title of Study   A comparative study to evaluate the efficacy of intracameral fixed drug combination of mydriaticand anaesthetic in comparison with topical mydriatic for phacoemulsification in immature cataracts 
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 SOUBHAGYA S B PATIL 
Designation  Post graduate student 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of ophthalmology, Bangalore medical college and research Institute, New Tharugupet, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  7338233810  
Fax    
Email  soubhagyaspatil@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Professor Dr Bharati N 
Designation  Professor 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Ophthalmology, Bangalore Medical College and Research Institute, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9740809724  
Fax    
Email  bharath_64@yahoo.com  
 
Details of Contact Person
Public Query
 
Name  Professor Dr Bharati N 
Designation  Professor 
Affiliation  Bangalore Medical College and Research Institute 
Address  Department of Ophthalmology, Bangalore Medical College and Research Institute, Bangalore

Bangalore
KARNATAKA
560002
India 
Phone  9740809724  
Fax    
Email  bharath_64@yahoo.com  
 
Source of Monetary or Material Support  
Bangalore medical college and research Institute, K.R.Road, fort,new tharugupet, Bangalore, 560002 
 
Primary Sponsor  
Name  Bangalore medical college and research Institute 
Address  K. R. Road, fort, Bangalore, 560002 
Type of Sponsor  Government medical college 
 
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 Soubhagya S B Patil  MINTO ophthalmic hospital, BMCRI  MINTO ophthalmic hospital, Regional Institute of Opthalmology BMCRI, opposite V.V.Puram police station, new tharugupet, Bangalore - 560002
Bangalore
KARNATAKA 
7338233810

soubhagyaspatil@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Bangalore Medical College and Research Institute  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: H598||Other intraoperative and postprocedural complications and disorders of eye and adnexa, not elsewhere classified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  INTRACAMERAL FIXED DRUG COMBINATION OF MYDRIATIC AND ANAESTHETIC IN PHACOEMULSIFICATION IN IMMATURE CATARACTS  Preopertively - 1. 15 minutes before the surgery, the patient will be administered with one drop of topical Proparacaine hydrochloride 0.5%. This will be administered thrice at an interval of 5 minutes. Intraoperatively - 1. Patient will be administered 0.1 ml of a fixed drug combination of Tropicamide 0.02%, Phenylephrine 0.31% and Lidocaine 1% intracamerally, only once, before initiating the Capsulorrhexis and left in the anterior chamber for a maximum of 10 seconds which is followed by washing it with Balanced Salt Solution. 2. Pupil dilation will be measured with Castroveijo Callipers before initiating a Capsulorrhexis. Phacoemulsification will then be continued. 3. Pupil dilation is measured again at the end of surgery, i.e. just before removing the eye speculum. The surgical time is expected to be around 15 minutes. 4. The results will be compared with those of the Comparator agent. 
Comparator Agent  TOPICAL MYDRIATIC FOR PHACOEMULSIFICATION IN IMMATURE CATARACTS  Preopertively - 1. 30 minutes before the surgery, the patient will be administered with a combination eye drops containing mydriatic agents - Tropicamide 0.8% and Phenylephrine 5% in the eye to be operated. This will be administered thrice at an interval of 10 minutes. 2. 15 minutes before the surgery, the patient will also be administered with one drop of topical Proparacaine hydrochloride 0.5%. This will be administered thrice at an interval of 5 minutes. Intraoperatively - 1. Pupil dilation will be measured with Castroveijo Callipers before initiating a Capsulorrhexis. Phacoemulsification will then be continued. 2. Pupil dilation is measured again at the end of surgery, i.e. just before removing the eye speculum. The surgical time is expected to be around 15 minutes. 3. The results will be compared with those of the interventional agent. 
 
Inclusion Criteria  
Age From  50.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  1. Patients with senile immature cataract.
2. Patients willing to give informed consent for the study.
3. Patients who are to be taken up for phacoemulsification cataract surgery.
4. Patients with adequate preoperative pupillary dilatation. 
 
ExclusionCriteria 
Details  1. Patient not willing to give consent for the study.
2. Cataracts other than senile immature cataracts.
3. concurrent ocular pathologies.
4. Patients using drugs that affect the pupillary diameter.
5. Gross corneal opacities that affect the visibility of pupil on slit lamp.
6. Patients known to be sensitive to all the study drugs.
7. Patients with involuntary eye movements 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Alternation 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Mydriasis  before and after the administration of mydriatics in each group. 
 
Secondary Outcome  
Outcome  TimePoints 
pain felt intraoperatively  Immediate post operatively 
 
Target Sample Size   Total Sample Size="80"
Sample Size from India="80" 
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)   03/05/2024 
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="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  

1. To evaluate the efficacy of intracameral fixed drug combination of tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1% in comparison with topical tropicamide 0.8% and phenylephrine 5% in terms of pupil dilatation.

2. To evaluate the efficacy of intracameral fixed drug combination of tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1% in comparison with topical tropicamide 0.8% and phenylephrine 5% in terms of patient comfort.

3. To evaluate the safety of intracameral fixed drug combination of tropicamide 0.02%, phenylephrine 0.31% and lidocaine 1%

 
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