Case Proforma

Name of the Patient IP No.:

Age, Sex: DOA:

Complaints: DOS:

Past History: DOD:

Pre-operating examination:

RE LE

VISUAL ACQUITY

UCVA:

BCVA:

REFRACTIVE STATUS (SE)

OCULAR BIOMETRY

AL

ACD

LT

KERATOMETRY

K1

K2

CCT

RNFL THICKNESS
PATIENT INFORMATION SHEET

Title of the object- Comparison of retinal nerve fibre layer measurements by SD-OCT
with ocular biometry in myopic, hypermetropic and emmetropic patients

1. Name of the investigator- Dr Gaurav chhabra, DNB Ophthalmology (secondary)

2. Name of the Guide- Dr Arokiam John Bosco Specialist Grade I , Dept of

Ophthalmology, IGGGH & PGI, Puducherry.

3. Name of the Co-Guides- Dr O.G. Varshini, Senior Medical Officer , Dept of

Ophthalmology, IGGGH & PGI, Puducherry.

Dr R.J. Kavitha, General Duty Medical Officer, Dept of

Ophthalmology,

IGGGH & PGI, Puducherry.

Dr R.Malarmozhie, General Duty Medical Officer, Dept

Ophthalmology,

IGGGH & PGI, Puducherry.

4. Purpose of the study- To compare the retinal nerve fibre layer thickness
measurements by SD-OCT with ocular biometry in myopic, hypermetropic and
emmetropic patients aged between 20 to 40 years of age.

5. Procedure/Method of the study- A cross sectional observation analytical study

6. Any risks expected from the study to participants- NO

7. Maintenance of confidentiality of records- YES

8. The participants have freedom to withdrawn from the study at any time during the
study peroid without the loss of benefits that the participant would otherwise be
 entitled to

9. Possible current and future use of the biological material and the data to be
generated from the research and if materials likely to be used for secondary
purposes or would be shared with others- NO

10. INVESTIGATOR DR GAURAV CHHABRA

DNB OPHTHALMOLOGY(SECONDARY)
IGGGH & PGI PUDUCHERRY
Phone no-9597719088

GUIDE: DR. AROKIAM JOHN BOSCO

IGGGH & PGI
PUDUCHERRY

CO-GUIDES : 1. DR. O.G. VARSHINI

IGGGH & PGI
PUDUCHERRY
2. DR. R.J. KAVITHA
IGGGH & PGI
PUDUCHERRY
3. DR. R. MALARMOZHIE
IGGGH & PGI
PUDUCHERRY
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