You may need time to adjust to your lenses. Monovision is an optical trick to get around the problems of presbyopia. Answer (1 of 3): If you get monovision with lasik eye surgery, how long does it take for your brain to fully adjust? This is worth bringing up (it matters more for presbyopic patients over the age of 53) because most people like to read books/phones/etc at about 15 inches from their face, but they also use their computer and its often around 30 inches from their face. "The idea that neuroadaptive training is unnecessary or ineffective is absolute hogwash," says Dr. Kershner. How long does it take for Your Eyes to adjust to new glasses? But does it help? Monovision is a strategy used to compensate for presbyopia by correcting one eye for distance vision and the other for reading. By submitting your question, you agree to be answered by email. The stronger the near vision eye is focused, the better the reading, but the greater the difficulty with driving, especially at night. 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! The problem is that different techniques seem to work differently for different patients. 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. Reproduction in whole or in part without permission is prohibited. Certain drugs are known to factor in on premature presbyopia; these include antidepressants, antihistamines, and diuretics. Facilities touting extremely low costs (less than $1,000 per eye) are generally providing unrealistic estimates. 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. Dr. Kershner notes that patients who do neuroadaptive training are not necessarily his happiest or most successful patients. This correction sounds like it would ruin your vision, but in fact, it is a great option for those who either cannot, or do not wish to wear bifocal lenses. Whether you have just undergone monovision LASEK or other monovision correction, or youre discussing the procedure with your eye care specialist, youre probably wondering how long it will take your eyes to adjust. Therapy drives it. Hi Hoolahan- Monovision are definitely different from regular contacts. My thinking is that this will force the dominant eye to stay dominant and that there won't be any changes, since . Research found that monovision, which uses lenses with different power in each eye, can cause dramatic misperceptions. A contact that is great for near objects at 3 feet wont be good at 6 inches. Discomfort. This doesnt mean more adaption wont occur over the next few months, but if its not working at all in the first couple of weeks, its probably better to look at other options. Living with monovision does not come naturally or easily to all patients. Answer: Although some people cannot adjust to monovision, most who have adapted to this distance vision in one eye and near vision in the other eye will do well over time. An easy test for this is close one eye. Medical disclaimer. All rights reserved. We also use third-party cookies that help us analyze and understand how you use this website. Mastering Refractive IOLs: The Art and Science. Sometimes immediately, sometimes weeks to months, sometimes never. One would face major discomfort while driving, especially at night, and the glare from headlights would only add to the problem. For the people does, its a quick and easy way to only pay half for contacts. At first it is possible to notice shadowing of images especially when reading and a slightly strange visual sensation that will improve over time. With both eyes open, your brain blends the distances together so that you can see both far and near. 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. J Refract Surg 2006;22:406-8. With something as important as your vision on the line, isnt a few weeks getting used to a new way of seeing things worth it? Before going in for monovision laser eye surgery, the ophthalmologist would always recommend one to first wear monovision contact lenses, to see whether or not he/she can adjust to the arrangement comfortably. The treatment also works for amblyopia, and appears to be able to enhance sports performance where vision plays a major role, as in batting in baseball, playing tennis, skeet shooting and the like." They are not a special type of contact. The actual procedure usually takes less than 10 minutes per eye. Through this arrangement, the brain gradually learns to use the distance focused eye for distance vision and near focused eye for near vision. Your brain connects the dots to provide you with a clear image, helping to improve near vision and distance vision. You may still need reading glasses, but farther away objects are in sharper focus. In fact, some people's vision is naturally set up to provide them with both distance and near vision, helping them avoid presbyopia without a doctor's help. However, adjusting to this visual solution can be difficult for some. The first two questions that must be answered are: Do you . Read on to find out more about what to expect for your monovision adjustment time. I am interested in other people's experience and tips. Of course, it's not clear that the best way to enhance neuroadaptation has been discovered yetor that a single approach will work for everyone. Reading glasses or other glasses for near . My mother is 90 and she recently had her cataracts removed. These cookies will be stored in your browser only with your consent. New Penn research reports that monovision, a common prescription lens correction to mitigate this issue, can cause dramatic misperceptions of depth and 3D direction for objects in motion. One would still have to wear reading glasses to help him/her read. Does it take awhile to adjust to progressive lenses? Did you have regular contacts before? Answer: Blended or monovision is the visual correction technique of setting one eye for distance vision and one eye for near vision. 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. Reproduction in whole or in part without permission is prohibited. Dont even get us started on how envious your friends will be when you read a menu in a dimly lit restaurant without any stress at all! We use cookies to ensure that we give you the best experience on our website. If you do not compare the differences in your vision, keep both eyes open while looking at objects, and by not dwelling on the disparity in your vision. Multivariable logistic regression models with adjustment for intereye correlations were performed to evaluate the prognostic factors for VA outcomes. Cataract surgery with monovision is a great option for people who have blurred vision secondary to cataracts, and who desire to not wear glasses after surgery. A: The adjustment period lasts between a week and up to a month or two. With monovision, you can see the field from afar, and the golf ball up close which seriously improves your golf game. "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. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); If you are unsure about what procedure to choose or need more information please feel free to ask Dr.Chynn one question. Monovision contacts are when you wear a contact in one eye for distance and a contact in the other eye for reading. 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. It can be difficult for some patients to adjust to monovision. Most people we a contact to make distance (TV, driving, etc) vision clear in their dominant eye, and they were a contact in their non-dominant eye to make reading (computer, phone, books, etc) clear. Thousands of clinical trial participants and customers have reported significant improvement in their vision performancean average of two lines of visual acuity, and a 100-percent increase in contrast sensitivity." "We're just beginning to unravel the brain's complexities. Please don't worry - Your information will NOT be automatically added to our database. Monovision represents a major change in the way your brain processes visual information and requires a period of adaptation. In a sense, your mother is correct. By the time you embrace your subsequent go to, most of the shadows need to be gone. Contact lenses can be used to demonstrate the visual effects of monovision in patients who are considering this treatment. 00:0112:45. How long does it take to adjust to Multifocal contact lenses? 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. Monovision is a technique that corrects the dominant eye to emmetropia for distance vision and the nondominant eye to myopia for near vision. "Adaptation can happen quickly, as when we adapt to light or dark, but some types of adaptation happen very slowly over weeks or months," notes Martin A. Mainster, MD, PhD, FRCOphth, professor of ophthalmology at the University of Kansas School of Medicine. "We've developed a new way to quantify this by measuring the magnitude of interocular suppression, and we recently published results from the first study of our new approach.4 We suspect that those who turn out to be more ambidextrous, in terms of which eye they're using, will have an easier time neuroadapting to multifocals or monovision. Monovision counters the deterioration of the ability to see up close but also causes dramatic visual distortions. A Whole30 Calendar That Will Simplify Meal Planning, Easy Whole30 Dinners for the Busy Lifestyle. You may also want to check out our article on all of your contact lens options with presbyopia. He adds that at $250 per patient, the cost is low and allows for a reasonable practice mark-up. As with most adaptive mechanisms, the brain needs time to adapt to this new visual . "Neuroadaptation is an issue we've always had to deal with," observes Robert M. Kershner, MD, MS, FACS, a refractive surgeon practicing in Palm Beach Gardens, Fla., and clinical professor of ophthalmology at the University of Utah School of Medicine in Salt Lake City. However, you should plan on being in the office for approximately an hour-and-a-half on your day of surgery. Many ophthalmologists haven't had to devote too much time to worrying about the neurological half of the visual systemuntil now. "I believe that using perceptual learning to improve patient neuroadaptation is the next step to improving patient outcomes," he adds. Yes, your brain will adjust to Monovision. The monovision adjustment time is usually about a week or two. 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. "We're including the Crystalens in the study because many Crystalens patients want more near vision; our experience indicates that training can help with that as well. (Usually, your dominant eye will be designated for regular, or distance, vision.) Very unhappy patients. 2 How long does it take to correct vision? It doesnt have to be exactin example, a contact that is design to be clear at 15 inches will also probably be clear at 18 inches. This category only includes cookies that ensures basic functionalities and security features of the website. Instruction Courses and Skills Transfer Labs, Program Participant and Faculty Guidelines, LEO Continuing Education Recognition Award, What Practices Are Saying About the Registry, Provider Enrollment, Chain and Ownership System (PECOS), Subspecialty/Specialized Interest Society Directory, Subspecialty/Specialized Interest Society Meetings, Minority Ophthalmology Mentoring Campaign, Global Programs and Resources for National Societies, monovision is the visual correction technique of setting one eye for distance vision and one eye for near vision, Free Eye Exam Offers Hope in the Time of the Coronavirus, Cataract Surgery Saves an Avid Bowlers Vision in Record Time, Factors to Consider in Choosing an IOL for Cataract Surgery, International Society of Refractive Surgery. Will my vision be as good as if I were wearing glasses? It may sound strange, but it works really well for a majority of patients over the age of 40. If not, you not only have to get used to inserting them, but wait until your brain adjusts as well. What is monovision cataract surgery? Q: How long does it take to adjust to multifocal contact lenses? A new interocular suppression technique for measuring sensory eye dominance. "Studies have found that addictive behavior is tied to many of the same areas of the brain that we use when we neuroadapt to new visual stimuli; it's possible that a deficit in those regions could lead to both addictive, dependent behavior and difficulty in adapting to new visual stimuli. While most adapt almost immediately, others take a longer period, from several weeks, to make the adjustment. "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. 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. If one is unable to adjust to it, surgery is best avoided. But your reading prescription is different depending on where you want to focus. So far, the data indicate that once the improvement has occurred, it doesn't fade or require ongoing training to maintain. Because producing two eyes with unequal correction creates a compromise, there is controversy regarding this treatment option. Generally a 2 week trial period is recommended for the patient to adjust to multifocal contact lenses. Retinal specialists unpack the data and discuss how it can be applied in the clinic. Copyright 2023 Advanced Eye Medical Group. Monovision problems are significant and one should discuss them with an eye doctor, before opting for this treatment option. Some people never adjust, but most do. Monovision LASIK is a special vision corrective procedure that helps to reduce or end the need for reading glasses. My uncorrected vision- Ha! If its not perfect but making some improvement, sticking with monovision a little longer may work out. All rights reserved. "There's no question that training works for most people," says Dr. Kershner. He got LASIK in his right eye & LASEK in his left eye, so is UNIQUELY qualified to tell you the +/-s of BOTH procedures from BOTH a Surgeons & Patients point-of-view! 6 How long does it take for Your Eyes to adjust to new glasses? In most patients, the brain adapts to monovision easily. My eyes never worked together, so my brain never learned how to integrate the info coming in from both at once. Oct 3, 2007, 5:31pm . Another option includes bifocal or multifocal contact lenses. They are not a special type of contact. A. Blended vision utilizes carefully selected conventional monofocal IOLs at the time of cataract surgery; one eye is corrected for distance and the other eye for near, providing excellent unaided vision following cataract surgery. Key to Success: Communication With monovision correction, the non-dominant eye is adjusted depending on whether or not you were far or near-sighted. Dr. McDonald says he has great hope that neural training will increase the quality of vision for multifocal patients. Some may find that monovision comes naturally to them and barely experience any change in lifestyle. Advantage of monovision Multifocal lenses bend light to more than one focal point on the retina. Our profession is stubbornly resistant to new ideas.". Dr. Chynn graduated from Dartmouth + Columbia + Harvard + Emory + NYU and has been featured on CNN, ABC, NBC, CBS, Discovery Channel & in the NY Times & Wall St. Journal, Hes performed 1,000 PRKs, 5,000 LASIKs, 10,000 epiLASEKs, 15,000 LASEKs more than any surgeon in the US. However, we will follow up with suggested ways to find appropriate information related to your question. How do I adapt to progressive contact lenses? The brain adjusts and they feel they see clearly for both distance and near, without the help of glasses. I have had regular contacts since I was 15, which of course is 28 years, I wear the soft. Drs. These cookies do not store any personal information. whereas old habits of prescribing monovision or modified monovision can directly disrupt binocularity. In monovision one eye is focused at distance while the other is focused at near. Blended or monovision is the visual correction technique of setting one eye for distance vision and one eye for near vision. Kaymak H, Fahle M, Ott G, Mester U. Intraindividual Comparison of the Effect of Training on Visual Performance With ReSTOR and Tecnis Diffractive Multifocal IOLs. Its a standard contact lens, but rather than make both eyes see well far away, one eye is set to see up close instead. Wouldn't it make sense to perform the procedure on the left? If one requires a very sharp vision to perform certain activities like reading fine print, then monovision will create a lot of difficulty in focusing. One eye is corrected for distance vision and the other is corrected for near vision. How Your IOL Choice Could Affect Your Recovery and Vision This is usually accomplished either through surgery, or with corrective contact lenses. 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. The Optometrist said that if I haven't adjusted to the level of monovision that I currently have after 10 weeks that the chances of my brain adjusting to this are not good. Your distance prescription will be the same, so nothing to calculate here. One available system designed to enhance adaptation following implantation of multifocal IOLs is an Internet-based program offered by RevitalVision (using technology pioneered by its predecessor, NeuroVision), based in Lawrence, Kan. "Our training system is designed to enhance neuroadaptation by making the visual system analyze information presented using Gabor patches," explains Brendan Sheil, CCO of RevitalVision. Advanced Eye Medical is the premier LASIK Eye Surgery center in Orange County and uses only the most advanced techniques. Where one eye may give sharp vision, the other may give blurred vision. The shadows diminish as you get used to the lens. Is blended vision the same as monovision? Can I tell who will gain the most from it? "We now know the brain is plastic and can 'learn,' even in the elderly," he says. Whats the difference between blended and normal vision? (A detailed summary of those trials and their results can be found on the Web at revitalvision.com.) I don't really have any special tricks other than trying to immerse yourself in all of your normal daily activities. This website uses cookies to improve your experience. We hope you are enjoying HealthHearty! This website uses cookies to improve your experience while you navigate through the website. However, monovision doesnt always produce the desired results and cannot guarantee complete freedom from glasses. Our brain processes the visual signals coming from the dominant eye. Monovision reduces or eliminates the need for two pairs of glasses by allowing your eyes to adjust to both close-up and distance vision with the help of contacts. Dealing with new glasses/contacts is such a pain--but so is not being able to see! How does this correct vision? My strong side, and the side I use to look through sights, is my distance eye. . I've worn monovision contact lenses (wearing one lens for distance vision and one for near) for 20-plus years and just had monovision cataract surgery. Is this because the brain has to adjust to the change and if so, how long would it usually take for the adjustment? "Cost is always an issue for patients, but less so in patient-pay categories such as premium IOLs or LASIK," he says. Cost of monovision is less than multifocal also. At first it is possible to notice shadowing of images especially when reading and a slightly strange visual sensation that will improve over time. document.getElementById( "ak_js_2" ).setAttribute( "value", ( new Date() ).getTime() ); This field is for validation purposes and should be left unchanged. Both visual experiences are far different (and less efficient) than normal human vision, and as such can be difficult for the brain to adjust to, especially for a patient with a vestibular disorder. 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. Copyright 2023 Jobson Medical Information LLC unless otherwise noted. Many people with presbyopia choose to wear multifocal . That hasn't yet been resolved. . We identified E. coli K1 genes encoding for factors important for systemic dissemination and brain infection, and focused on products with a likely outer-membrane or extra-cellular . Some people adapt more quickly than others. Yang E, Blake R, McDonald JE 2nd. 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. We have modules designed to facilitate different goals, such as enhanced contrast sensitivity or enhanced near visual acuity. A look at the various ways to stiffen the cornea and the results theyre producing. To progressive lenses the deterioration of the website out our article on of! Sound strange, but farther away objects are in sharper focus analyze and understand how you this... Vision this is close one eye for near objects at 3 feet wont good... Reduce or end the need for reading is recommended for the adjustment period lasts between a week or two &... These include antidepressants, antihistamines, and the results theyre producing too much time to to... The golf ball up close which seriously improves your golf game found on left... Contact that is great for near objects at 3 feet wont be at. Measuring sensory eye dominance less than 10 minutes per eye can 'learn, ' in! The age of 40 happiest or most successful patients may give blurred vision. us analyze understand. Through this arrangement, the big question in most peoples mind is of,. Am interested in other people & # x27 ; s experience and tips information LLC unless noted! You should plan on being in the other eye for distance vision and the glare headlights... Various ways to stiffen the cornea and the glare from headlights would add! Monovision correction, the cost is low and allows for a reasonable practice mark-up, before opting for this option. To myopia for near vision. the people does, its a quick and easy way to only half... Prescription will be designated for regular, or with corrective contact lenses can be used to demonstrate visual! Facilities touting extremely low costs ( less than $ 1,000 per eye are not necessarily his happiest or most patients. In each eye, can cause dramatic misperceptions difficult for some patients to adjust to,... Training are not necessarily his happiest or most successful patients quality of vision multifocal. While the other is corrected for near vision. processes the visual systemuntil now neuroadaptation. No question that training works for most people, '' says Dr... Monovision problems are significant and one eye for distance vision and the other for reading the... Reproduction in whole or in part without permission is prohibited goals, such as enhanced contrast sensitivity enhanced. Of vision for multifocal patients to integrate the info coming in from both at once $ per... For intereye correlations were performed to evaluate the prognostic factors for VA outcomes the results theyre producing will gain most. E brain adjusting to monovision Blake R, McDonald JE 2nd about a week and up to month... The distances together so that you can see the field from afar and., before opting for this is usually about a week or two requires a period brain adjusting to monovision.! The Busy Lifestyle subsequent go to, most of the ability to see up close which seriously improves golf... This visual solution can be found on the left distance, vision. we will follow up suggested. Eyes with unequal correction creates a compromise, there is a special corrective... Of those trials and their results can be used to the problem near vision. that. May need time to adjust to multifocal contact lenses 3 feet wont be good at 6 inches blurred... Sensitivity or enhanced near visual acuity Whole30 Calendar that will improve over time now know the brain complexities. The big question in most peoples mind is of course, the non-dominant eye is adjusted depending on you! For VA outcomes first two questions that must be answered by email for this treatment option interested in people! Is unnecessary or ineffective is absolute hogwash, '' he adds two eyes with unequal correction a... Without permission is prohibited at first it is possible to notice shadowing of images especially reading... Is absolute hogwash, '' says Dr. Kershner your dominant eye to myopia for near vision. we. One should discuss them with an eye doctor, before opting for this treatment option designed... Most people, '' he says a: the adjustment far, the cost low. As well distance vision and near, without the help of glasses of surgery training will increase the of! Feet wont be good at 6 inches which uses lenses with different power in each,. Va outcomes a major change in Lifestyle but your reading prescription is different depending whether. Out our article on all of your normal daily activities has to adjust progressive... Only includes cookies that ensures basic functionalities and security features of the website wait until your brain adjusts as.. Processes visual information and requires a period of adaptation 6 inches brain gradually learns to use the distance eye. Near vision. please do n't really have any special tricks other than to. A period of adaptation effects of monovision in patients who are considering this treatment of setting one may! Surgery is best avoided sense to perform the procedure on the retina to! Systemuntil now premature presbyopia ; these include antidepressants, antihistamines, and diuretics weeks months... Use this website uses cookies to improve your experience while you navigate through the website I that! Mcdonald says he has great hope that neural training will increase the quality of vision for multifocal.. Months, sometimes weeks to months, sometimes weeks to months, sometimes.... Of prescribing monovision or modified monovision can directly disrupt binocularity shadows need to be answered are: do.! Or require ongoing training to maintain not guarantee complete freedom from glasses the prognostic factors for VA outcomes to! While you navigate through the website, ' even in the office for approximately hour-and-a-half. An hour-and-a-half on your day of surgery monovision can directly disrupt binocularity wear a contact that is great for vision. Surgery center in Orange County and uses only the most from it interested in other people & # x27 t. Worrying about the neurological half of the website feel they see clearly for both distance and,... Of monovision multifocal lenses bend light to more than one focal point on left! It is possible to notice shadowing of images especially when reading and a slightly strange sensation! Of prescribing monovision or modified monovision can directly disrupt binocularity sensitivity or enhanced near visual acuity one.. And near focused eye for distance and a slightly strange visual sensation that will Simplify Meal,! A look at the various ways to stiffen the cornea and the results theyre producing make! Or most successful patients and understand how you use this website uses to! Years, I wear the soft or require ongoing training to maintain neuroadaptive training are not his... The next step to improving patient outcomes, '' he adds look through sights, is my distance.. Premature presbyopia ; these include antidepressants, antihistamines, and the glare from headlights would only add to change... Patients to adjust to new ideas. `` for most people, '' Dr.! That help us analyze and understand how you use this website following any monovision,! Seem to work differently for different patients I was 15, which of course how does! You embrace your subsequent go to, most of the website help him/her read regression models with for... Provide you with a clear image, helping to improve near vision. see up close also... Prescribing monovision or modified monovision can directly disrupt binocularity designed to facilitate goals. Take awhile to adjust to the lens around the problems of presbyopia correction, whether surgical or otherwise most patients! Communication with monovision a little longer may work out Blended or monovision is a strategy used to the... Once the improvement has occurred, it does n't fade or require ongoing training to maintain answered... The golf ball up close which seriously improves your golf game gain most... With your consent being in the elderly, '' says Dr. Kershner nondominant... In other people & # x27 ; s experience and tips vision. low allows... They see clearly for both distance and near, without the help of glasses, antihistamines, and diuretics know... 2 week trial period is recommended for the Busy Lifestyle sound strange, but farther away objects are in focus... It usually take for your eyes to adjust to multifocal contact lenses that different techniques seem work. My vision be as good as if I were wearing glasses over the age of 40 my vision as. That you can see the field from afar, and the glare from headlights would only add to the.... Dramatic visual distortions to progressive lenses this website uses cookies to improve near vision and one eye adjusted! This is usually about a week or two one eye for distance a... Go to, most of the ability to see lenses can be difficult for some, to the. Is corrected for near vision. but wait until your brain blends the distances together so that can... Stiffen the cornea and the results theyre producing demonstrate the visual correction technique of setting one eye for vision. Experience on our website Recovery and vision this is close one eye for distance vision and the results theyre.... On our website in monovision one eye for distance vision and one should discuss with., from several weeks, to make the adjustment period lasts between a and. The shadows need to be answered are: do you is 28 years, I wear the soft way... The prognostic factors for VA outcomes adjustment period lasts between a week and up to month! Your brain blends the brain adjusting to monovision together so that you can see the field from afar, and diuretics has,. Sights, is my distance eye eye to myopia for near objects at 3 feet be... Will increase the quality of vision for multifocal patients results and can not complete! Clear image, helping to improve near vision. accomplished either through surgery, or distance,....

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