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CompletedNCT06689904Updated Nov 15, 2024

The Effect of Eyedrop Size on Pupillary Dilation Using the Nanodropper Bottle Adapter

An interventional study of Nanodropper and Standard eye drop bottle in Medication Delivery and Eye Drop Delivery, sponsored by Sutter Health. Completed at 1 site in United States. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by Sutter Health · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was Jan 2022, 4 years 9 months ago, and no results have been posted to the registry.
  • Registered 2 years 10 months after the study started (first participant enrolled Jan 2022, registered Nov 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
54
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The average drop size produced by standard eyedrop bottle exceeds the maximal capacity that the human eye are absorb topically. This excess leads to medication waste, increased costs, and greater risk of side effects.

The Nanodropper is a commercially available, FDA listed eyedrop bottle adapter that delivers a smaller drop size. The investigators hypothesize the Nanodropper is noninferior to the standard eye drop bottle for pupil dilation.

In this study, participants have one eye randomly chosen to be dilated with the Nanodropper and the fellow eye dilated with the standard bottle with a 50/50 mixture of tropicamide 1% and phenylephrine 2.5%. Pupil size before and after 30 minutes of dilation are measured with a pupillometer and compared between fellow eyes to see if there is a difference.

Read the detailed description

Ophthalmic medications are available in eyedrop bottles that produce on average a drop size of about 40 uL, while the human eye can only hold about 7-10uL. This excess leads to medication waste, increased costs, and greater risk of side effects.

The Nanodropper is a commercially available, FDA listed (class 1 medical device, 510(k) exempt) eyedrop bottle adapter that delivers a smaller drop size of 10 uL. The investigators hypothesize the Nanodropper is noninferior to the standard eye drop bottle for pupil dilation.

This is a prospective comparative matched pairs study of adults scheduled for routine bilateral eye dilation. Exclusion criteria includes anisocoria and medications affecting pupil size. One eye is randomly dilated with the Nanodropper and the fellow eye dilated with the standard bottle with a 50/50 mixture of tropicamide 1% and phenylephrine 2.5%. Pupil size before and after 30 minutes of dilation are measured with a pupillometer and compared between fellow eyes within the same subject with a noninferiority margin of 0.5mm.

02

Conditions studied

  • Medication Delivery
  • Eye Drop Delivery

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Keywords

  • eye drops
  • pupil dilation
  • eye drop bottle device
  • eye drop size
03

In context

Mydriasis

37 studies on the registry are indexed under Mydriasis; 4 are open to participants now.

This study's enrollment of 54 is below the median of 61 across 35 interventional studies indexed under Mydriasis.

Browse Mydriasis studies →

Lead sponsor

Sutter Health is the lead sponsor of 13 studies on the registry; 3 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • age >18 years old
  • scheduled for routine bilateral eye dilation

Exclusion criteria

Exclusion Criteria:

  • narrow angles
  • allergies to phenylephrine or tropicamide
  • concurrent use of any mydriatic agents (e.g., atropine, cyclopentolate, brimonidine)
  • baseline anisocoria (>1 mm)
  • traumatic pupil,
  • surgical pupil
  • unilateral pseudoexfoliation.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
54 participants (actual)

Study arms

  • Experimental
    Eye dilated with the nanodropper

    For each participant, one eye (left or right) is randomly selected to be dilated with the Nanodropper.

    Device: Nanodropper

  • Active comparator
    Eye dilated with the standard bottle

    Fellow eye is dilated with the standard eye drop bottle

    Device: Standard eye drop bottle

Interventions

  • DeviceNanodropper

    One eye is randomly selected to be dilated with the nanodropper

  • DeviceStandard eye drop bottle

    eye is dilated with the standard eye drop bottle

06

What researchers measure

Primary outcomes

  1. Pupil size (diameter)

    Pupil diameter (mm)

    Time frame: 30 minutes after dilation

07

Study locations

1 site
  • Lions Eye Clinic
    San Francisco, California 94012, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2022 to primary completion in Jan 2022, 0 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 7, 2024
First posted
Nov 15, 2024
StartActual
Jan 4, 2022
Primary completionActual
Jan 31, 2022
CompletionActual
Jan 31, 2022
Last update
Nov 15, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06689904
Lead sponsor
Sutter Health
Responsible party
Sponsor
First posted
Nov 15, 2024
Start date
Jan 4, 2022
Primary completion
Jan 31, 2022
Completion
Jan 31, 2022
Last update
Nov 15, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

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Discussion

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