ClinicalTrials.gg
CompletedNCT07495670Updated Mar 27, 2026

Comparison of 4 Methods of Eye Drops for Pupil Dilation in Diabetic Patients

An interventional study of 1 drop of a 0.8% tropicamide + 5% phenylephrine combination and 1 drop of 0.5% tetracaine and 1 drop of a 0.8% tropicamide + 5% phenylephrine combination in Diabetes (DM), Retinopathy, Diabetic and Pupil Dilation, sponsored by Burapha University. Completed at 1 site in Thailand. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-03-27.

Primary conditionDiabetic RetinopathyRegistry: Diabetes MellitusReclassifiedWhy we changed it
Registry
Diabetes Mellitus — the first condition term the registry derived for this study.
ClinicalTrials.gg
Diabetic Retinopathy
Why
  1. The study's listed conditions name Diabetic Retinopathy, a narrower term within Diabetes Mellitus.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Burapha University · Not applicable, Interventional, and Diagnostic

From the registry’s dates

  • Registered 1 year 4 months after the study started (first participant enrolled Nov 2024, registered Mar 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
84
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

Pupil dilation is required for many eye conditions. Diabetic patients may need more dilating eye drops to have pupil size large enough for eye exams. This study compares 4 methods of eye drops for pupil dilation in diabetic patients scheduled for retinopathy screening. Possible side effects of the eye drops are monitored during the study.

Read the detailed description

Diabetic patients participating in this study will be randomed to get 1 drop or 3 drops of dilating drug. And one eye of each patient will be randomed to get 1 drop of anesthetics, while the other eye does not. So there are 4 groups of eyes in the study. Group 1 receive 1 drop of dilating drug. Group 2 receive 1 drop of anesthetics + 1 drop of dilating drug. Group 3 receive 3 drops of dilating drug. And group 4 receive 1 drop of anesthetics + 3 drops of dilating drug. Pupil size will be measured before and after the drops.

02

Conditions studied

  • Diabetes (DM)
  • Retinopathy, Diabetic
  • Pupil Dilation

Browse trials for

Keywords

  • Pupil
  • Dilatation
  • Administration, Topical
  • Anesthetics
  • Retinopathy, Diabetic
03

In context

Diabetic Retinopathy Reclassified

778 studies on the registry are indexed under Diabetic Retinopathy; 142 are open to participants now.

This study's enrollment of 84 is close to the median of 80 across 481 interventional studies indexed under Diabetic Retinopathy.

Browse Diabetic Retinopathy studies →

Lead sponsor

Burapha University is the lead sponsor of 15 studies on the registry; 4 are open to participants now.

Compared within Diabetic Retinopathy, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Diabetes Mellitus. The counts are of registry records indexed under each term, refreshed daily. How we classify →

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Diabetic patients who were scheduled for diabetic retinopathy screening at OPD eye
  • Age 18 years or older

Exclusion criteria

Exclusion Criteria:

  • Conditions potentially affecting pupillary reaction (e.g., history of uveitis, previous intraocular surgery, posterior synechiae)
  • Known allergies to the study medications
  • Systolic blood pressure > 160 mmHg
  • Diastolic blood pressure > 100 mmHg
  • Pulse rate > 100 beats/min
05

Study design

Phase
Not applicable
Primary purpose
Diagnostic
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Care provider, Outcomes assessor)
Enrollment
84 participants (actual)

Study arms

  • Experimental
    1 drop

    1 drop of a 0.8% tropicamide - 5% phenylephrine combination

    Drug: 1 drop of a 0.8% tropicamide + 5% phenylephrine combination

  • Experimental
    2 drops

    1 drop of tetracaine and 1 drop of a 0.8% tropicamide - 5% phenylephrine combination

    Drug: 1 drop of 0.5% tetracaine and 1 drop of a 0.8% tropicamide + 5% phenylephrine combination

  • Experimental
    3 drops

    3 drops of a 0.8% tropicamide - 5% phenylephrine combination

    Drug: 3 drops of a 0.8% tropicamide + 5% phenylephrine combination

  • Experimental
    4 drops

    1 drop of tetracaine and 3 drops of a 0.8% tropicamide - 5% phenylephrine combination

    Drug: 1 drop of 0.5% tetracaine and 3 drops of a 0.8% tropicamide + 5% phenylephrine combination

Interventions

  • Drug1 drop of a 0.8% tropicamide + 5% phenylephrine combination

    1 drop of a 0.8% tropicamide (muscarinic antagonist) + 5% phenylephrine (α1-adrenergic agonist) combination

  • Drug1 drop of 0.5% tetracaine and 1 drop of a 0.8% tropicamide + 5% phenylephrine combination

    1 drop of 0.5% tetracaine (anesthetics) and 1 drop of a 0.8% tropicamide (muscarinic antagonist) + 5% phenylephrine (α1-adrenergic agonist) combination

  • Drug3 drops of a 0.8% tropicamide + 5% phenylephrine combination

    3 drops of a 0.8% tropicamide (muscarinic antagonist) + 5% phenylephrine (α1-adrenergic agonist) combination

  • Drug1 drop of 0.5% tetracaine and 3 drops of a 0.8% tropicamide + 5% phenylephrine combination

    1 drop of 0.5% tetracaine (anesthetics) and 3 drops of a 0.8% tropicamide (muscarinic antagonist) + 5% phenylephrine (α1-adrenergic agonist) combination

06

What researchers measure

Primary outcomes

  1. Pupillary size

    Measurement of pupillary size in millimeters (at baseline, then every 10 minutes)

    Time frame: 30 minutes

Secondary outcomes

  1. Systolic blood pressure

    Measurement of systolic blood pressure (at baseline, then every 10 minutes)

    Time frame: 30 minutes

  2. Diastolic blood pressure

    Measurement of diastolic blood pressure (at baseline, then every 10 minutes)

    Time frame: 30 minutes

  3. Pulse rate

    Measurement of pulse rate (at baseline, then every 10 minutes)

    Time frame: 30 minutes

  4. Ocular discomfort

    Patients report of ocular discomfort during topical administration and the measurement of pupillary size in pain score (0-10)

    Time frame: When all measurements concluded (at minute 30)

07

Study locations

1 site
  • Burapha University
    Chon Buri, 20131, Thailand
08

References and documents

Publications

  • Bhatia J, Varghese M, Bhatia A. Effect of 10% phenylephrine eye drops on systemic blood pressure in normotensive & hypertensive patient. Oman Med J. 2009 Jan;24(1):30-2. doi: 10.5001/omj.2009.8. PubMed 22303506 ↗
  • Kenawy NB, Jabir M. Phenylephrine 2.5% and 10% in phacoemulsification under topical anaesthesia: is there an effect on systemic blood pressure? Br J Ophthalmol. 2003 Apr;87(4):505-6. doi: 10.1136/bjo.87.4.505. No abstract available. PubMed 12642324 ↗
  • Chin KW, Law NM, Chin MK. Phenylephrine eye drops in ophthalmic surgery--a clinical study on cardiovascular effects. Med J Malaysia. 1994 Jun;49(2):158-63. PubMed 8090095 ↗
  • Brown MM, Brown GC, Spaeth GL. Lack of side effects from topically administered 10% phenylephrine eyedrops. A controlled study. Arch Ophthalmol. 1980 Mar;98(3):487-9. doi: 10.1001/archopht.1980.01020030483009. PubMed 7362505 ↗
  • Leopold IH. The phenylephrine saga--a drug dilemma. Am J Ophthalmol. 1978 Apr;85(4):572-4. doi: 10.1016/s0002-9394(14)75261-4. No abstract available. PubMed 655237 ↗
  • Motta MM, Coblentz J, Fernandes BF, Burnier MN Jr. Mydriatic and cardiovascular effects of phenylephrine 2.5% versus phenylephrine 10%, both associated with tropicamide 1%. Ophthalmic Res. 2009;42(2):87-9. doi: 10.1159/000220601. Epub 2009 May 27. PubMed 19478547 ↗
  • Shrivastava AK, Nayak S, Anto M. Efficacy of Nepafenac versus Flurbiprofen in Maintaining Intraoperative Mydriasis During Phacoemulsification: A Comparative Study. Clin Ophthalmol. 2021 Mar 9;15:1085-1093. doi: 10.2147/OPTH.S303480. eCollection 2021. PubMed 33727791 ↗
  • Kergoat H, Lovasik JV, Doughty MJ. A pupillographic evaluation of a phenylephrine HCl 5%-tropicamide 0.8% combination mydriatic. J Ocul Pharmacol. 1989 Fall;5(3):199-216. doi: 10.1089/jop.1989.5.199. PubMed 2625616 ↗
  • Trinavarat A, Pituksung A. Effective pupil dilatation with a mixture of 0.75% tropicamide and 2.5% phenylephrine: A randomized controlled trial. Indian J Ophthalmol. 2009 Sep-Oct;57(5):351-4. doi: 10.4103/0301-4738.55070. PubMed 19700872 ↗
  • Pollack SL, Hunt JS, Polse KA. Dose-response effects of tropicamide HCl. Am J Optom Physiol Opt. 1981 May;58(5):361-6. doi: 10.1097/00006324-198105000-00003. PubMed 7258285 ↗
  • Sinclair SH, Pelham V, Giovanoni R, Regan CD. Mydriatic solution for outpatient indirect ophthalmoscopy. Arch Ophthalmol. 1980 Sep;98(9):1572-4. doi: 10.1001/archopht.1980.01020040424004. PubMed 7425917 ↗
  • Bhurayanontachai P, Saengkaew S, Apiromruck P. Efficacy of an eye drop mixture for pupillary dilatation: A randomized comparative study. J Optom. 2017 Apr-Jun;10(2):111-116. doi: 10.1016/j.optom.2016.04.007. Epub 2016 Jun 16. PubMed 27321772 ↗
  • Park JH, Lee YC, Lee SY. The comparison of mydriatic effect between two drugs of different mechanism. Korean J Ophthalmol. 2009 Mar;23(1):40-2. doi: 10.3341/kjo.2009.23.1.40. Epub 2009 Mar 9. PubMed 19337478 ↗
  • Ghose S, Garodia VK, Sachdev MS, Kumar H, Biswas NR, Pandey RM. Evaluation of potentiating effect of a drop of lignocaine on tropicamide-induced mydriasis. Invest Ophthalmol Vis Sci. 2001 Jun;42(7):1581-5. PubMed 11381064 ↗
  • Apt L, Henrick A. Pupillary dilatation with single eyedrop mydriatic combinations. Am J Ophthalmol. 1980 Apr;89(4):553-9. doi: 10.1016/0002-9394(80)90065-3. PubMed 7369319 ↗
  • Datta S, Biswas NR, Saxena R, Deepak KK, Menon V, Garg SP, Tandon R. Ocular and cardiovascular autonomic function in diabetic patients with varying severity of retinopathy. Indian J Physiol Pharmacol. 2005 Apr;49(2):171-8. PubMed 16170985 ↗
  • Clark CV. Ocular autonomic nerve function in proliferative diabetic retinopathy. Eye (Lond). 1988;2 ( Pt 1):96-101. doi: 10.1038/eye.1988.20. PubMed 3044851 ↗
  • Coblentz J, Motta MM, Fernandes BF, Burnier MN Jr, Vianna RN. Comparison between obtained mydriasis in type 2 diabetics and non-diabetic patients. Curr Eye Res. 2009 Nov;34(11):925-7. doi: 10.3109/02713680903205220. PubMed 19958108 ↗
  • Lei HL, Yang KJ, Sun CC, Chen CH, Huang BY, Ng SC, Yeung L. Obtained mydriasis in long-term type 2 diabetic patients. J Ocul Pharmacol Ther. 2011 Dec;27(6):599-602. doi: 10.1089/jop.2011.0090. Epub 2011 Aug 31. PubMed 21879887 ↗
  • Alio J, Hernandez I, Millan A, Sanchez J. Pupil responsiveness in diabetes mellitus. Ann Ophthalmol. 1989 Apr;21(4):132-7. PubMed 2729817 ↗
  • Yang YB, Yu YB, Fu Q. [The autonomic pupillary dysfunction in type II diabetes mellitus]. Zhonghua Yan Ke Za Zhi. 2006 Jul;42(7):616-9. Chinese. PubMed 17081420 ↗
  • Schwingshandl J, Simpson JM, Donaghue K, Bonney MA, Howard NJ, Silink M. Pupillary abnormalities in type I diabetes occurring during adolescence. Comparisons with cardiovascular reflexes. Diabetes Care. 1993 Apr;16(4):630-3. doi: 10.2337/diacare.16.4.630. PubMed 8462391 ↗
  • Hreidarsson AB. Pupil size in insulin-dependent diabetes. Relationship to duration, metabolic control, and long-term manifestations. Diabetes. 1982 May;31(5 Pt 1):442-8. doi: 10.2337/diab.31.5.442. PubMed 6759259 ↗

Individual participant data

Plan to share: Yes — IPD used in the results publication

Supporting information: Study protocol

Time frame: IPD and supporting information will be available one year after publicaiton and for two years period.

Access criteria: Direct contact to the corresponding author

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Nov 2024 to primary completion in Jan 2025, 2 months.

Of 111 non-industry interventional studies with no phase under Diabetic Retinopathy, half reached primary completion within 36 months of starting (the median), counting those still running; a quarter within 12 and three quarters within 60. This study's 2 months is below that.

Counting every sponsor, half of 126 studies reached it within 29 months; a quarter within 11 and three quarters within 60.

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

Registered
Mar 19, 2026
First posted
Mar 27, 2026
StartActual
Nov 4, 2024
Primary completionActual
Jan 31, 2025
CompletionActual
Jan 31, 2025
Last update
Mar 27, 2026
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 Mar 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07495670
Lead sponsor
Burapha University
Responsible party
Nattawat Asawaworarit (M.D., Burapha University) — Principal investigator
First posted
Mar 27, 2026
Start date
Nov 4, 2024
Primary completion
Jan 31, 2025
Completion
Jan 31, 2025
Last update
Mar 27, 2026

Study contacts

Nattawat Asawaworarit, M.D.
principal investigator · Burapha University

Oversight

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

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This study is completed, as verified in Mar 2026. You cannot join it, but the record below documents what was studied.

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