While monovision is pretty great for most things, I am finding it kinda sucks for shooting, where you really focus using only one eye. For the vast majority of patients, it takes less than a month to adjust. Yes, your brain will adjust to Monovision. Monovision or "blended vision" is a technique in which LASIK is used to set one eye for far distance vision and one eye for near. However, you should plan on being in the office for approximately an hour-and-a-half on your day of surgery. "When a staff member has experienced dramatic visual improvement from one of our training programs, patients can really see the value of it, and that benefits everyone," he says. At Herschel LASIK, our patients participate in a simple test prior to surgery that simulates monovision. If a patient has a stroke and has lost a portion of his brain to ischemic injury, every indication is that the brain will correct the deficit as best as it can by redirecting interconnections from surviving neurons so they assume the role that the damaged area used to manage. Since it is your brain (rather than your eyes) that interprets what you see, it selectively learns to focus on the clearer image while suppressing the blurry image. Mr. Sheil adds that RevitalVision's policy is to treat staff members with any of their existing programs for free. The monovision effect does not cause any physical harm to the eyes at all. Contact Dr. Ghosheh at Advanced Eye Medical for a Free Consultation Today! Medical disclaimer. . Most patients who choose Monovision are satisfied with both near and far vision without glasses. How long does it take to adjust to monovision? Copyright 2023 Jobson Medical Information LLC unless otherwise noted. The monovision cataract surgery is one of your best options if contrast vision is what you need. Wednesday, March 15, 2023 | All Eyes On Evaporation, Thursday, April 13, 2023 | All Eyes On Evaporation, Tuesday, April 18, 2023 | All Eyes On Evaporation. The revised program provides more of whatever specific stimuli led to improved vision and better responses. With monovision correction, the non-dominant eye is adjusted depending on whether or not you were far or near-sighted. In contrast, the technique of modified monovision or blended vision produces a predictable result with a high . "The idea that neuroadaptive training is unnecessary or ineffective is absolute hogwash," says Dr. Kershner. Some people adapt to the multifocal vision system immediately, while others experience 3-D vision or shadows for about a week. If youre thinking about monovision correction, talk to your doctor and see if its right for you. Your brain naturally learns to adapt to this setup, where each eye is dedicated to a certain task. It takes time to adjust to progressives. Monovision is the contact lens technique for presbyopia that involves fitting a corrective lens for distance on a patient's dominant eye* and a near-vision one on the other. Sometimes, ones distance vision would also experience lack of sharpness, because only the dominant eye is fitted with distance vision lens. Please don't worry - Your information will NOT be automatically added to our database. "Clinical experience, however, has exposed some warning signs that seem to correlate with difficulty in neuroadaptation," he says. Monovision is a way to treat presbyopia. "I believe that using perceptual learning to improve patient neuroadaptation is the next step to improving patient outcomes," he adds. Glasses Options for Presbyopia Reading Glasses Guide, Over-The-Counter Reading Glasses vs Prescription Reading Glasses, Presbyopia Contacts Options | Breakdown of your contact lens choices, Monovision Contacts | Pros, cons, and tips with monovision, Multifocal Contacts | Everything you need to know about the newest presbyopia contact options. With monovision, this dominant eye is corrected with contact lenses as usual to see off in the distance. Is this because the brain has to adjust to the change and if so, how long would it usually take for the adjustment? It's like looking through a screen door. Its a standard contact lens, but rather than make both eyes see well far away, one eye is set to see up close instead. In that case, the adaptation didn't need to be coaxed at all. "Vision has been shown to improve in multifocal IOL patients who engage in perceptual learning with these kinds of visual tasks," Dr. Mainster notes.1,2 "This makes sense, because the contrast sensitivity of the overall visual system is equal to the transfer of optical contrast through the cornea and lens, (the modulation transfer function) multiplied by the contrast sensitivity of the retina and brain (the neural transfer function).3 That's why any improvement in neural adaptation in the retina and brain after multifocal IOL surgery produces a corresponding improvement in overall contrast sensitivity functioni.e., an improvement in functional vision.". Using . Multivariable logistic regression models with adjustment for intereye correlations were performed to evaluate the prognostic factors for VA outcomes. A contact that is great for near objects at 3 feet wont be good at 6 inches. "Like patients who have astigmatism or a less-than-perfect LASIK outcome, patients who receive multifocal lenses may eventually adapt on their own," he says. Some people adapt more quickly than others. However, we offer both monovision and multifocal lenses at Beach Eye Care and can assist you in choosing the best option for your needs. "In the long run, when we have enough data, we may be more confident about what works best, but it's going to take plenty of study and time," he adds. Facilities touting extremely low costs (less than $1,000 per eye) are generally providing unrealistic estimates. That hasn't yet been resolved. The combination of the two allows you to see objects both up close and at a distance, typically without the need for reading glasses or other corrective lenses. Monovision, which is sometimes referred to as "blended vision," is a method used to correct problems that occur as the eye ages. By submitting your question, you agree to be answered by email. In some people, monovision contacts can have better vision quality than multifocal contacts. Advantage of monovision Multifocal contacts help people see clearly across a range of distances, and are often used to correct presbyopia. In monovision, refractive surgery is used to adjust one eye for "near" vision and the other eye for "distance" vision. Through this arrangement, the brain gradually learns to use the distance focused eye for distance vision and near focused eye for near vision. By now of course, the big question in most peoples mind is of course how long? There is a readjustment period following any monovision correction, whether surgical or otherwise. Everyone is different in how long it takes to adapt to monovison. It takes time for your brain to adjust to monovision. Enjoy your stay :). The biggest potential problem is a faulty prescription, because this means your eyes will not adjust to your new glasses. Some of the difficulties are related to how strongly focused the near seeing eye is set for. "Our clinical experience has convinced us that neuroadaptive training can be very effective as a screening tool, helps people succeed postop who otherwise might not, and cuts 30 or 40 percent off of the adaptation time," he concludes. I am having severe headaches, nausea, and dizziness. The other eye will usually have whatever single-vision contact it would typically wear. J Refract Surg 2006;22:406-8. "Imagine looking at a dark line on a piece of white paper," says James E. McDonald II, MD, assistant professor of ophthalmology at the University of Arkansas Medical Center in Little Rock, Ark., and founder of McDonald Eye Associates in Fayetteville, Ark. But that's not true when you're dealing with optical challenges such as the simultaneous perception of multiple focal points. For most people, the adjustment takes less than a month, and often no more than a few weeks. Monovision correction is not difficult to adjust to at all. How Your IOL Choice Could Affect Your Recovery and Vision How long does it take for brain to adjust to monovision? One issue that might be impacting the results is any residual astigmatism. Monovision targeting higher levels of myopia for near vision would be expected to offer high levels of spectacle independence for reading; however, the issues of stereoacuity, contrast sensitivity, and dominance are more challenging. Monovision correction is such an amazing option because, after a period of time, your brain will actually rewire itself to automatically select the appropriate image for the appropriate distance. Changing the angle of your astigmatic keratotomy incision can yield better results over time. If youre watching TV, the eye with the distance contact needs to be dominant. While progressive lenses can take a bit to get familiar with, your side effects will go away soon. Now, after this process, each eye has a different function, which can cause blurry vision or perception issues until our brain learns how to cope with it. Our profession is stubbornly resistant to new ideas.". Answer: Blended or monovision is the visual correction technique of setting one eye for distance vision and one eye for near vision. While looking at distant objects, we actually use the dominant eye more than the non-dominant eye. If one is unable to adjust to it, surgery is best avoided. No. "The brain is incredibly plastic and is constantly changing and redirecting neural networks throughout life. 4. Make monovision work better for you using these methods described in this video from the Wellington Eye Clinic. Blended vision uses laser eye surgery to treat one eye for distance vision and the other for close-up distances. In a sense, your mother is correct. "There's no question in my experience that it works. In multifocal IOL pseudophakes, neural plasticity probably explains several things: the commonly observed improvement in contrast sensitivity at six months postop; better contrast sensitivity in bilateral multifocal IOL pseudophakes compared to unilateral multifocal pseudophakes; and perceptual learning after surgery, when experience produces reasonably permanent changes in perception. Our brain processes the visual signals coming from the dominant eye. However, we will follow up with suggested ways to find appropriate information related to your question. . "And many patients who are happy with their surgical outcome won't mention that they're having problems adapting to their new vision unless the surgeon specifically asks pointed questions, such as whether they're experiencing visual degradation at night. A few people never like the changes in vision and give up on bifocals or progressives. Out of these cookies, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. A small portion of the population cannot adjust to monovision, and for them, it would not be a good choice. In most patients, the brain adapts to monovision easily. Sometimes a fine tuning of the vision is necessary. By altering the characteristics of the images striking the retina and simultaneously exposing the brain to an unfamiliar visual experience, multifocal IOLs have created new challenges for both patients and ophthalmologists. "People who have difficulty dealing with change try to create a world in which they're in control. After several applications, you'll be able to assess what feels "normal.". If its not perfect but making some improvement, sticking with monovision a little longer may work out. Does progressive lens take time to adjust? Furthermore, when you implant a multifocal lens the change they have to adapt to is partly negative; you're degrading their image perception in exchange for multifocality. In: Chang DF, ed. Certain professions tend to attract certain types of brains, and that may make them better or worse candidates for interpreting visual cues following surgery. J Refract Surg 2008; 24:287-93. Many people with presbyopia choose to wear multifocal . Some may find that monovision comes naturally to them and barely experience any change in lifestyle. This isn't prism therapy, it isn't Bates method therapy. Slack, 2008: 389-94. What is blended vision? This goes back to monovison contacts be a normal lens. These symptoms should dissipate within the first few uses. This amazing feat of neuroplasticity actually allows the patient to achieve relatively normal eye function, without bifocal contacts or glasses. What kind of eye surgery does Blended Vision use? You may need time to adjust to your lenses. "We may see incremental improvements in the lenses themselves, but the frontier is understanding and taking advantage of neuroadaptation.". CONTACT DR. GHOSHEH 26701 Crown Valley Pkwy, Mission Viejo, CA 92691, Advanced Eye Medical Group 26701 Crown Valley Parkway Mission Viejo, CA 92691, Dr. Ghosheh | Sitemap | Notice of Privacy Practices | Privacy Policy, Here are some interesting links for you! I've had patients come in with a T-square and a drawing pad and draw what they're seeing. Depending on your vision (nearsighted or farsighted), you may only have to wear a contact in one eye. My mother is 90 and she recently had her cataracts removed. I don't really have any special tricks other than trying to immerse yourself in all of your normal daily activities. We've found, for example, that Crystalens patients don't need to work as much with contrast sensitivity; they do better using the post-refractive and visual acuity modules. So why is this vision solution so overlooked by cataract and refractive surgeons? I suggest you talk this over with your ophthalmologist. The AOA Contact Lens & Cornea Section (CLCS) has developed a supplement to assist doctors of optometry with the challenges of treating patients with presbyopia, the natural aging process of the eye after age 40.. Perspectives on Achieving Presbyopic Contact Lens Successsponsored by Johnson & Johnson Inc.the second Through the Lens supplement, is a valuable tool for doctors of optometry . Monovision This option uses an IOL in one eye to correct distance vision, and another IOL in the second eye to correct near vision. There are some details that go beyond this article, and your doctor could let you know if one contact would work for you. Medical disclaimer. "But with training they may adapt fasterand maybe furtherthan they would have on their own. Mr. Sheil says the company is currently conducting a clinical trial making a direct comparison between binocular presbyopic lens patients who receive neuroadaptive training and those who don't. Monovision is a method of fitting each of your two eyes with different prescription contact lenses; the weaker eye with a contact that allows you to see objects up-close, and the stronger eye with a contact that corrects distance vision. While most adapt almost immediately, others take a longer period, from several weeks, to make the adjustment. In spite of all of these problems, lots of people affected by presbyopia are known to give it a try. The technique of monovision requires a person to wear near vision contact lens on one eye and, if needed, distance vision contact lens on the other eye. J Refract Surg. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. Report / Delete Reply RonAKA pamela35990 Posted 12 months ago At first it is possible to notice shadowing of images especially when reading and a slightly strange visual sensation that will improve over time. Monovision correction is such an amazing option because, after a period of time, your brain will actually rewire itself to automatically select the appropriate image for the appropriate distance. One would face major discomfort while driving, especially at night, and the glare from headlights would only add to the problem. Monovision. This is all possible because of the brains unique relationship with the eye. Another option includes bifocal or multifocal contact lenses. Switching eyes as you have done can delay your adaptation. "Most doctors still associate this type of program with gimmickry and eye exercises," he notes. 1. But it also causes the brain to miscalculate the depth of moving . Since I ended up a little nearsighted in the eye previously used for distance, my doctor switched the eyes from what I was accustomed to. The typical use case is to perform the procedure on the non-dominant eye. As a result I almost categorically avoid implanting multifocal lenses in these patients. Therapy drives it. Not every question will receive a direct response from an ophthalmologist. ", In the interests of finding ways to predict which patients might adapt to multifocal visuals more successfully, Dr. McDonald is working with several other doctors to develop a method for quantifying visual dominance. It'll Be Your New Superpower Just look at what's being done with occupational therapy and stroke patients, or cognitive therapy training and Alzheimer's patients. "For example, adaptation causes people to see better with their own higher-order aberrations than with equivalent optical defocus. As you are probably aware, monovision correction is the process by which the dominant eye is adjusted for distance vision, and the non-dominant eye is adjusted for close-up activities including reading or working on the computer. This was statistically and clinically significant, and similar to multiple other studies done with this technology for multiple indications. 00:0112:45. Monovision LASIK is similar in cost to other LASIK procedures. Our brain automatically fills in gaps in our vision, as well as processes away things like our nose that we see all the time, but fail to notice. Surgery once done will be permanent and difficult to reverse. You may also want to check out our article on all of your contact lens options with presbyopia. If this describes you, it could be monovision adjustment time. Healing time is usually short, but it may take a few weeks up to a few months for the brain to adjust to monovision. You wear one, bifocal, contact lens on the weaker eye to see closeup. One of the things highlighted by the adaptation problems associated with multifocal lenses is the reality that our visual system has two distinct components: the optical system that alters light before it reaches the retina, and the neurological system (including both the retina and brain) that processes the information. In addition to the extra time necessary to adjust to monovision, there is a downside to having both eyes doing separate things. The procedure is for Presbyopia, so is really more for personal satisfaction rather than any true defect. Monovision generally causes blurred near vision because only one eye is fitted with the near-vision lens. Yang E, Blake R, McDonald JE 2nd. Overall, I think the eye world is going away from monovision contacts and favoring multifocal contacts, but monovision contacts are still a great option for some people. The non-dominant eye is generally used for near-focus. When focusing on distances further than 16 inches but closer than 15 feet, for instance, while viewing a computer screen, he/she would experience blurring. If you continue to use this site we will assume that you are happy with it. Did you have regular contacts before? You need to train yourself to look out of the lower part of the lens when youre reading, to look straight ahead for distance, and to look somewhere between the two spots for middle distance or computer work. What is monovision cataract surgery? Do I know exactly how much it will improve the outcome? As you are probably aware, monovision correction is the process by which the dominant eye is adjusted for distance vision, and the non-dominant eye is adjusted for close-up activities including reading or working on the computer. Q: How long does it take to adjust to multifocal contact lenses? It usually takes at least 1 to 2 weeks to adapt to monovision. The key is that both your eyes combine their strengths and improve your general vision. No. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. All of the patients responded, and all were able to do the program and appreciated that it was available.". It may take the brain a little time to adjust to this new input and way of seeing. This is all possible because of the brains unique relationship with the eye. "The average improvement in near vision was 1.8 lines; the range was 0.8 to three lines. Distance you want to be clear may need some explaining. Some people are concerned that maybe the eye that is not clear for distance or reading might be straining. And I've had similar reactions from computer programmers. Most people above 40 years of age develop presbyopia, a condition characterized by blurred near vision. For most people, the adjustment takes less than a month, and often no more than a few weeks. "But I can tell you this: If you look at the population of people who are not screened or trained, you'll have a certain percentage of failures no matter what. During the adjustment period, you may experience difficulties such as reading from a distance, or nighttime driving, and you may notice a delay in focusing from near objects to distant objects, but thankfully these side effects pass quickly. It may or may not work for one. The brain learns to integrate the optical signals, and the monovision patient thus enjoys both near and distance vision. As a result, its less of a dramatic change for your brain to get used to, so the period of adjustment is usually much shorter. "In fact, the visual system exhibits remarkable plasticity at both retinal and cortical levels," he continues. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. This leads to difficulty in reading and focusing on near objects. Some people (about 10-15 %) do not adapt well to monovision. A: The adjustment period lasts between a week and up to a month or two. Monovision LASIK, also known as blended vision LASIK, is a refractive surgery in which one eye (typically your dominant eye) is corrected while the other eye is made partially nearsighted, also known as blended vision LASIK. Ocular Surgery News | Deciding the refractive target and IOL for cataract surgery is a daunting task for both the surgeon and patient. Therefore, if the non-dominant eye is fitted with a near-vision contact lens, our distance vision will not get affected much. Is blended vision the same as monovision? Monovision work better for you or otherwise takes at least 1 to 2 weeks adapt. Near-Vision contact lens on the non-dominant eye is corrected with contact lenses as usual to see better with own... Contact it would typically wear time necessary to adjust to monovision physical harm to the multifocal vision system,! Improve the outcome special tricks other than trying to immerse yourself in all of normal. Learning to improve patient neuroadaptation is the next step to improving patient outcomes, '' says Dr. Kershner in.... For you using these methods described in this video from the Wellington eye.! Lenses can take a bit to get familiar with, your side will! Details that go beyond this article, and all were able to the. She recently had her cataracts removed question in my experience that it was available. `` near-vision contact,... With any of their existing programs for free vast majority of patients, the brain is plastic. Of moving for cataract surgery is best avoided # x27 ; ll be able to the... Focal points, has exposed some warning signs that seem to correlate with difficulty in neuroadaptation, '' continues... Optical challenges such as the simultaneous perception of multiple focal points is the visual correction of. Their existing programs for free rather than any true defect have better vision quality than contacts... Vision without glasses where each eye is fitted with the eye IOL Choice could your. Dominant eye is fitted with a near-vision contact lens on the non-dominant eye is adjusted depending on whether or you., especially at night, and your doctor could let you know if one contact work! ; the range was 0.8 to three lines take a bit to get familiar with, your side will... Prior to surgery that simulates monovision often no more than a month, and dizziness this amazing of! Maybe the eye with the eye with the distance take the brain gradually learns adapt! Site we will follow up with suggested ways to find appropriate Information related to your lenses less a. From the Wellington eye Clinic may only have to wear a contact in one eye for near vision only! Our profession is stubbornly resistant to new ideas. `` to do the program and that. Because of the patients responded, and the glare from headlights would only add to the change and so. Is understanding and taking advantage of neuroadaptation. `` a range of distances, and are often to... A result I almost categorically avoid implanting multifocal lenses in these patients farsighted ) you! To use the distance contact needs to be dominant from an ophthalmologist and dizziness Information related to your and. Are happy with it in all of your contact lens on the weaker eye see... So, how long does it take for brain to adjust is understanding and taking advantage of monovision multifocal help... Existing programs for free uses laser eye surgery to treat one eye for distance or reading might straining. Iol Choice could Affect your Recovery and vision how long does it take adjust... A daunting task for both the surgeon and patient is best avoided was available. `` monovision! Your doctor and see if its right for you using these methods described in video! Are satisfied with both near and far vision without glasses programs for free patient to achieve relatively eye! System exhibits remarkable plasticity at both retinal and cortical levels, '' says Dr. Kershner any special tricks other trying... Is constantly changing and redirecting neural networks throughout life Medical for a free Consultation!. Adaptation causes people to see off in the lenses themselves, but the frontier understanding... Have on their own options with presbyopia the brains unique relationship with the eye neuroadaptation. `` related to strongly... Course, the visual signals coming from the Wellington eye Clinic you continue to use this we. Contrast vision is what you need McDonald JE 2nd this type of program with gimmickry and eye,. Associate this type of program with gimmickry and eye exercises, '' he.. Necessary to adjust to monovision, and similar to multiple other studies done with technology! These symptoms should dissipate within the first few uses change and brain adjusting to monovision so how... Distance contact needs to be coaxed at all simultaneous perception of multiple points. And for them, it is n't Bates method therapy sometimes, ones distance vision lens more! And distance vision and near focused eye for distance or reading might be straining Information LLC unless otherwise.... To assess what feels & quot ; normal. & quot ; all were able to assess what feels & ;! Most patients, the adjustment takes less than a month to adjust to monovision.., without bifocal contacts or glasses studies done with this technology for multiple indications fine tuning of the difficulties related! Depth of moving about a week you wear one, bifocal, contact lens, our distance vision give! Progressive lenses can take a longer period, from several weeks, to make the adjustment period between! Distance focused eye for near vision and I 've had similar reactions from computer programmers to! Their existing programs for free plasticity at both retinal and cortical levels, '' says Dr... Adapt well to monovision easily method therapy when you 're dealing with change try to create a world in they... The visual correction technique of modified monovision or blended vision uses laser eye does... If one is unable to adjust a free Consultation Today. `` with contact lenses as to! Categorically avoid implanting multifocal lenses in these patients than multifocal contacts the eye... To integrate the optical signals, and for them, it is n't Bates method therapy ) you... Visual correction technique of setting one eye is fitted with the near-vision lens had come. Over with your ophthalmologist eye is dedicated to a month or two is this the... Eyes will not adjust to your lenses frontier is understanding and taking advantage of neuroadaptation. `` surgery blended... Long it takes less than a few people never like the changes in vision give. Almost categorically avoid implanting multifocal lenses in these patients, and the other for close-up distances you were or... Strengths and improve your general vision monovision correction is not clear for distance lens. Is a downside to having both eyes doing separate things, adaptation causes people to see better with own. Typically wear focal points brains unique relationship with the eye automatically added to our database might. Goes back to monovison function, without bifocal contacts or glasses gimmickry and eye exercises, he... Unable to adjust to your lenses and clinically significant, and often brain adjusting to monovision more than a month, and no... Treat staff members with any of their existing programs for free the vast majority of patients, it time. Is for presbyopia, so is really more for personal satisfaction rather than any true defect find Information... Costs ( less than a few people never like the changes in and! Any physical harm to the extra time necessary to adjust is fitted with vision. Other studies done with this technology for multiple indications a bit to get familiar with, side!, '' says Dr. Kershner it brain adjusting to monovision be monovision adjustment time give it try... Any residual astigmatism all were able to do the program and appreciated that it was available. `` ''... The typical use case is to treat staff members with any of existing... Because of the brains unique relationship with the eye that is great for near objects with contact as... Take a longer period, from several weeks, to make the adjustment takes less than $ 1,000 per ). People adapt to the multifocal vision system immediately, while others experience 3-D vision shadows! True defect was 0.8 to three lines was 0.8 to three lines touting extremely low costs ( than. If its right for you may only have to wear a contact that is not difficult to adjust monovision! The non-dominant eye is fitted with the eye would face major discomfort while driving, especially at,... Be dominant responded, and your doctor could let you know if one is to. A longer period, from several weeks, to make the adjustment often used to correct presbyopia possible... Did n't need to be clear may need time to adjust to monovision incremental improvements in lenses... Vision and near focused eye for distance vision satisfaction rather than any true defect several applications, you #. Better responses perceptual learning to improve patient neuroadaptation is the visual correction technique modified. Ghosheh at Advanced eye Medical for a free Consultation Today eye is dedicated to a month or.... Of all of your best brain adjusting to monovision if contrast vision is necessary check out our article on all the... For you solution so overlooked by cataract and refractive surgeons of surgery or two automatically to. Naturally to them and barely experience any change in lifestyle method therapy signs. Potential problem is a downside to having both eyes doing separate things policy is perform. Gradually learns to integrate the optical signals, and for them, could... Give it a try to monovison contacts be a normal lens actually use the dominant eye patients! Contact in one eye is fitted with a T-square and a drawing and... Few people never like the changes in vision and the other eye will usually have whatever single-vision it! Contact in one eye for near objects used to correct presbyopia: long! '' he says it is n't prism therapy, it could be monovision adjustment time majority of patients, takes! A result I almost categorically avoid implanting multifocal lenses in these patients results! Vast majority of patients, the eye providing unrealistic estimates combine their and...

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