- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00657670
Evaluation of Effectiveness of Correcting Refractive Error With Ready-made Spectacles (RECS)
Evaluation of the Feasibility of Correcting Refractive Error From a Limited Inventory of Ready-made Spectacles: Wearer Retention, Vision Function, Quality of Life and Cost
This research project will compare two methods of correcting refractive error (long or short-sightedness) with spectacle lenses. The primary outcome is the proportion of the population requiring spectacle correction who's needs are met through each scheme. Secondary outcomes are the cost effectiveness of these schemes and development of guidelines for identification of those amongst the population suitable for 'ready-made' spectacles.
There are two sites involved in this research. Those with uncorrected refractive error will be identified by their distance vision. Those who have impaired vision (at least 20/40) which improves with spectacles will be invited to participate in this research. Participants will be randomly allocated to one of two groups. The first group will receive spectacles with full correction in both eyes and the second group will receive spectacles from a limited inventory. The two schemes will be compared by how many people continue to use the spectacles, vision with the new spectacles, change in the level of visual functioning and quality of life after wearing new spectacles for one month. At the one month visit, if the spectacles provided are not useful, one new pair of custom spectacles will be dispensed.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
In India, participants will be recruited from those attending Shroff's Charity Eye Hospital for refractive eye care. These individuals are screened for eye disease and visual acuity is measured as part of routine care. All with distance vision worse than 20/40 will have pinhole acuity taken to estimate benefit of refractive correction. Those who have refracted distance visual acuity better than 20/40 in the better eye and minimum spherical refractive error of ±1 dioptre will be eligible for the study. The clinical testing can be conducted on the same day and include habitual distance vision, refraction and refracted visual acuity.
In China, participants will be recruited from those identified by a School Screening Program in place in GuangZhou (Childsight). In this program, teachers measure visual acuity. Those who have 20/40 or worse distance vision will be invited to a parent information night. At this time, information will be provided about the study and those interested in participating will sign a record of informed assent with parental permission. The clinical testing will be conducted at a later visit by an optometrist attending the school. Study questionnaires will be administered and clinical testing of vision including habitual distance vision, refraction and refracted visual acuity.
The duration of the study will be up to 2 months and will require a total of three visits. After the initial visit, the dispensing visit will be arranged based on time to supply spectacles and the final visit planned for 1 month after receipt of spectacles.
This study will be masked. The persons interviewing the patients about quality of life and those testing vision on both visits will not know the intervention status of the subjects.
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Presenting visual acuity of 20/40 or worse in the better eye, who have improvement to 20/40 or better following refraction
- A minimum of 1 dioptre of spherical refractive error must be present
- Aged 18-45 years of age at Shroffs Charity Eye Hospital
- Junior High School Students approximate age 11-16 years of age at Zhongshan Ophthalmic Center
Exclusion Criteria:
- Those who do not correct to within 20/40 with spectacle correction.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: 1
Ready-made spectacles
|
Ready-made spectacles will be dispensed to correct refractive error.
Ready-made spectacles are spectacles which are available from an existing inventory.
This is different to prescription spectacles which are usually made to order.
They have the same spherical power for the right and left eyes and do not include a correction for astigmatism.
The limited inventory for this trial includes +1.00 to +4.00 in 0.50 steps, +5.00, +6.00 and +8.00, -1.00 to -6.00 in 0.50 steps, -7.00, -8.00, -9.00 and -10.00.
The appropriate spectacles are selected based on the spherical equivalent refractive error.
If there is a difference between the two eyes the lower correction is selected.
Other Names:
|
ACTIVE_COMPARATOR: 2
Spectacles
|
Spectacles will be prescribed to correct refractive error.
These spectacles will be custom-prescribed based on the sphero-cylindrical refractive correction.
The spectacles used in this arm will be custom made for each participant based on their refraction and can be made in a full range of spherical powers and astigmatic corrections for up to 2.00 dioptres of cylinder.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Wearer retention (% wearing at 1 month), vision (logMAR), visual function (0-100), quality of life (0-100)
Time Frame: a 1-month period of spectacle wear
|
a 1-month period of spectacle wear
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Cost-effectiveness
Time Frame: 1-month of spectacle wear
|
1-month of spectacle wear
|
Willingness to pay
Time Frame: 1-month of spectacle wear
|
1-month of spectacle wear
|
Recommendations for those who will benefit from ready made spectacles
Time Frame: 1-month of spectacle wear
|
1-month of spectacle wear
|
Quantify the prismatic effects which has an impact of spectacle compliance, need for adaptation and satisfaction with spectacles
Time Frame: 1-month of spectacle wear
|
1-month of spectacle wear
|
Continued spectacle use 6-12 months after dispensing
Time Frame: 12 months
|
12 months
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Lisa J Keay, PhD BOptom, Johns Hopkins University
- Study Director: Guofu Huang, MD, Zhongshan Ophthalmic Center, Sun Yat-sen University
- Study Director: Monica Gandhi, MD, Shroffs Charity Eye Hospital
Publications and helpful links
General Publications
- Zeng Y, Keay L, He M, Mai J, Munoz B, Brady C, Friedman DS. A randomized, clinical trial evaluating ready-made and custom spectacles delivered via a school-based screening program in China. Ophthalmology. 2009 Oct;116(10):1839-45. doi: 10.1016/j.ophtha.2009.04.004. Epub 2009 Jul 9.
- Angell B, Ali F, Gandhi M, Mathur U, Friedman DS, Jan S, Keay L. Ready-made and custom-made eyeglasses in India: a cost-effectiveness analysis of a randomised controlled trial. BMJ Open Ophthalmol. 2018 Feb 9;3(1):e000123. doi: 10.1136/bmjophth-2017-000123. eCollection 2018.
Study record dates
Study Major Dates
Study Start
Primary Completion (ACTUAL)
Study Completion (ACTUAL)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NA00013454
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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