Category Archives: Eye Health

Video – Description of Cataracts. What Are Cataracts?

Cataract Description

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The above video is from EyeMaginations and gives a great description of what Cataracts are:

Cataracts are a normal and common part of the aging process but, they do not have to interfere with your lifestyle.   A cataract is a cloudiness of the crystalline lens inside of your eye.  As your lens gets cloudier, your vision will gradually become more blurred.

The human eye may best be compared to a camera.  When you take a picture, the lens in the front of the camera allows light through and then focuses that light on the film in the back of the camera.  When the light hits the film, a picture is taken.  The eye works in much the same way.

In  youth, the crystalline lens of your eye is clear and allows light to pass through.   Light is focused by your cornea and your crystalline lens onto a thin layer of nerve tissue in the back of your eye called – the retina.   Your retina works like the film in a camera.  When the focused light hits the retina – a “picture” is taken and sent to your brain.

While a dirty camera lens blurs a picture, any significant cataract or cloudiness  in your crystalline lens will blur the images that you see.

When a cataract becomes significant – your vision can become quite blurry.  It is suggested if your vision drops below 20/40 or so….then it is common to be told to see an eye surgeon to have cataract surgery.

This surgery involves taking out the cloudy crystalline lens (cataract) and replacing it with a clear implant.  Often your surgeon can even do a calculation that can place your current eyeglass prescription into the lens implant.  The result after the cataract surgery can be much clearer vision and often there is no need for glasses after the surgery!

For more information – see your local Optometrist or  Dr Dawn Bearden or Dr Anna-Kay Tenn in Pembroke Pines 954-430-3808 or Sunrise 954-851-9949 for your yearly eye exam and they will be happy to discuss cataracts and cataract surgery options with you!

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Video Testimonial: Starlene Carter Talks About How A Routine Eye Exam Pupillary Dilation Saved Her Vision

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Starlene Carter came into Visionary Eyecare (Next to Lenscrafters) in Pembroke Pines in January 2001.  She was in the area and decided to stop in to schedule an eye examination for herself the following week.   She was not intending to get an eye exam that day – her plans were to spend that day shopping!

Our Office Manager, Carol Marsh, was there that day and convinced Starlene to go ahead and get her eye exam that same day since the office was not busy and the Doctor (Dr Dawn Bearden) would be able to see her right away.  Starlene agreed but, was insistent that she would NOT have her pupils dilated that day.  Her shopping was waiting and she did not want to “mess up her day” with that “dilation thing”.  Carol told her that the Doctor would talk to her during the exam about the importance of dilation.  Still Starlene would just not be convinced….

When Starlene met Dr Bearden for the first time – Dr Bearden began to explain and stress the importance of pupillary dilation.  Dr Bearden  explained that this was Starlene’s  first eye exam in our Visionary Eyecare office, there could be a multitude of eye diseases or problems that Starlene may be unaware of (because most eye problems do NOT cause any symptoms like blurry vision, headache, eye pain etc) and that Dr Bearden may NOT be able to detect these issues if Starlene did not allow the Doctor to dilate her pupils.  Dr Bearden also explained that Florida laws requires your Optometrist to dilate your pupils on the initial eye exam when you have an eye exam with a new Optometrist.  Reluctantly…..VERY reluctantly….Starlene finally agreed.

This simple decision absolutely saved Starlene’s vision.

During the eye exam, all seemed very normal.  Starlene had no family history of eye disease, she was able to see 20/20 in each eye with her new glasses prescription, she had NO eye pain, NO headaches, NO discomfort, her eye pressures were normal, her blood pressure was normal, good color vision etc.  But, when Dr Dawn Bearden dilated Starlene’s pupils – she saw 2 very LARGE retinal tears (retinal detachments) in Starlene’s right eye that posed a HUGE threat to Starlene’s vision in her right eye.  These tears could have eventually caused blindness in her eye had they not been detected during the dilation and then properly treated.

Immediately,  Dr Bearden called Dr Jay Levy – who is a local ophthalmologist who specializes in surgery of the retina.  Dr Bearden sent Starlene to see Dr Levy – who did surgery on Starlene’s right eye to repair the retinal tears in her right eye.

Starlene is now a loyal patient of Dr Dawn Bearden’s. She is still able to see 20/20 in each eye and has had no further problems from the retinal tears that were surgically repaired by Dr Levy.  Each and every year during her routine eye exam with Dr Bearden, you can find Starlene out in the waiting room telling her story to ALL of the other patients in the office.  She does a GREAT job in educating people and everyone that she comes in contact with about the importance of yearly eye examinations and the VITAL importance of pupillary dilation.

It saved Starlene’s vision…..and it can do the same for you and for the people in your life who come in for their annual eye exam!

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Local Miami Gorilla Undergoes Cataract Surgery

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more about “Miami Gorilla Undergoes Cataract Surgery“, posted with vodpod

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Josephine is a 42 year old, 160 pound gorilla that lives in Miami at the MetroZoo.  She had severe cataracts that made her vision so blurry – they only allowed her to see shadows.  The cataracts were impairing her vision to the point where her quality of life was becoming severely diminished.

Recently, Josephine underwent cataract surgery – which is a very common surgery for humans (especially here  in South Florida) but, is extremely rare in gorillas (it has only been performed a handful of times).  The surgery was very risky due to Josephine’s advanced age of 42 (gorillas usually live to around age 50) and the necessity to administer general anesthesia.

Josephine had top ranking human and veterinary Eye Doctors attending to her pre-op and her surgery.   They were able to remove her cloudy lenses (cataracts) inside of her eyes and replace the old lenses with new, clear synthetic ones to hopefully restore the clarity of her vision once again.

Human Eye Doctor,  Dr Frank Spektor, described her cataracts as “hard as baseballs” once they were removed from Joespine’s eyes.  He also described the procedure as “Exhilarating….and exhausting.”

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Optomap Retinal Exam Can Help Detect Diabetes, High Blood Pressure, Retinal Holes, Eye Tumors and More…Featured on The Doctors TV Show

The Optomap Retinal Examination is currently available at Visionary Eyecare – the Independent Doctors of Optometry Next to Lenscrafters in Pembroke Pines and Sunrise (INSIDE the Sawgrass Mills Mall).

This incredible technology allows your Eye Doctor to scan the internal lining of your eye called the retina and save this image on the computer for year to year comparisons.  The retina has about 1 million nerve fibers in it and is an extension of your brain.   The retina is also the ONLY place in the human body where a doctor can observe working nerve fibers and blood vessels WITHOUT cutting into the body.  Subtle eye health changes can be documented, monitored and compared each year.

Your retina can show early signs of systemic problems that can cause damage to nerves and blood vessels such as Diabetes, High Blood Pressure, High Cholesterol and more.  Your retina can also demonstrate eye health issues such as Glaucoma, Retinal Detachment, Macular Degeneration and Eye Tumors and/or Eye Cancer.

Most of the time the patient does not need to have their eyes dilated in order for the Optometrist to obtain a good Optomap retinal scan – so this is a big benefit.

The TV show called “The Doctors” aired a segment discussing the Optomap Retinal Scan and the benefits of this technology during your yearly eye examination to preserve BOTH your eye health and your systemic health.

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Testimonial: Patient – Judy McNab – Looses Glasses, Gets Eye Exam in Pembroke Pines and Dr Dawn Bearden Finds A Tumor in Her Left Eye

Judy McNab shares her full story

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Judy McNab never really felt the need for yearly eye examinations until she started to need glasses in her 40’s and 50’s.  Like most people, she thought she did not need to see an eye doctor if she did not need to wear eyeglasses or contact lenses.

One day she came into Visionary Eyecare in Pembroke Pines for an eye exam because she lost her glasses.  She was not having any problems with her eyes, no eye pain or pressure, no headaches, no vision problems….nothing.  She just wanted to quickly get an eye examination so she could get a new prescription to buy a new pair of glasses at Lenscrafters.

During the eye exam at Visionary Eyecare  (the Independent Doctors of Optometry next to Lenscrafters in Pembroke Pines),  Judy was able to see 20/20 in the examination room, her eyes looked perfectly healthy during the dilated retinal examination and also on the digital photographs taken of the inside of Judy’s eyes.   During the examination, Eye Doctor –  Dr Dawn Bearden recommended that Judy get a visual field (peripheral vision) test as a baseline – because Judy was over the age of 40 (much like a baseline mammogram is done at age 40) .  This test is an advanced test that is not part of the routine eye examination and would take extra time and cost Judy extra money (unfortunately – unlike a baseline mammogram-  most medical insurances and vision plans and will NOT pay for this preventative testing as a baseline).  At first, Judy did not want to take the time to do the additional test but Dr Bearden explained that visual field testing could uncover early and subtle eye health issues that sometimes a routine eye exam could not.  Judy was convinced and did the additional visual field test… and the results came back positive – TWICE.

Dr Bearden immediately referred Judy to an ophthalmologist for a secondary evaluation. At first,  Judy did not really want to see the ophthalmologist…..she kept telling Doctor Bearden that her vision was fine and she was not having any problems or symptoms….but, Dr Bearden INSISTED that she go for the secondary evaluation.   Judy did see the ophthalmologist, who then referred her to Bascom Palmer in Miami to see an eye doctor that specializes in eye tumors and eye cancer.

Judy was diagnosed with a tumor in her left eye and had laser treatment to help destroy the tumor in her left eye.  This was in 2005.  Now in 2009 Judy still has good vision in her left eye (she is able to see 20/25 in that eye).  Luckily, the tumor did not spread to anywhere else in her body and the surgeon was able to treat the tumor without having to remove Judy’s eye.

Judy shares her experience in the above and below videos.  She reminds us all that YEARLY eye exams are very important to help detect eye health issues that you may be unaware of… since many eye health issues DO NOT CAUSE SYMPTOMS and can only be detected by a COMPREHENSIVE eye exam.

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Judy McNab – short video testimonial

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These videos and many more educational videos and testimonials can be found on the Visionary Eyecare YouTube Channel…..CLICK HERE to check it out!

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Poll: How Often Do You Throw Away Your 2 Week Disposable Contact Lenses?

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Online Eye Test for Dry Eye

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CLICK HERE TO TAKE THE DRY EYE TEST


Do you think that you may have Dry Eye??

Ask yourself the following questions:

  • Do you have a lot of burning in your eyes?
  • Do you have a lot of tearing in your eyes?
  • Do you experience a lot of itching in your eyes?
  • Do your eyes feel like there is something in them – like an eyelash or hair – even when there is not?
  • Do your eyes feel sandy or gritty?
  • Does your vision intermittently blur and when you blink it clears up?
  • Do you do a lot of work at a computer?
  • Do you do a lot of reading?
  • Do you do a lot of work outdoors?

If you answered YES to any of the questions above – then you may have Dry Eye.

Click on the “DRY EYE TEST” at the top of this post to help to determine if you do have dry eye.

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If you DO have dry eye or answered YES to any of the questions in the above list – schedule an appointment to see your eye doctor. Your eye doctor can help determine what treatment, if any, is best for you.

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Common treatments can include using artificial tears in your eyes frequently throughout the day, fish oil capsules or eye vitamins or capsules to be taken orally, punctal plugs to be inserted or a prescription for a medication like Restasis that can help you produce more tears.

restasis

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Video – Eye Anatomy: The Cornea…and Contact Lenses, Degenerations and Keratoconus

Your eye is like a camera.  There are 2 structures that focus light – much like the lens of a camera.  These 2 structures are the cornea and the lens.  The cornea is the clear front surface of your eye that is located in front of the colored part of your eye (called the iris).

If you are a contact lens wearer – the contact lens sits on the cornea.  Not all corneas are the same size.  Some are more curved or “steep” and others are more “flat”.  It is important to be properly fit for contact lenses by your eye doctor.  If a contact lens is not properly fit, the contact can cause serious problems for the wearer – including corneal distortion, corneal swelling, corneal ulcers, inflammation and more.

A corneal topographer is an instument that can detect any corneal distortions caused from a contact lens.  A contact lens may look and feel “fine” but, it can still be causing problems that you may be unaware of.  Many times sleeping in your contact lenses or overwearing your contacts (wearing a 2 week contact for more than 2 weeks) can cause corneal distortions.

Cornea With Keratoconus

Cornea With Keratoconus

At Visionary Eyecare in Pembroke Pines, Sunrise and Davie- we perform a corneal topography on ALL contact lens patients. During the contact lens eye exam we use the corneal topographer to monitor the health of the patient’s cornea before fitting with a new contact lens and also to monitor the corneal health year to year for established contact lens wearers.

Corneal Topography can also detect some corneal degenerations and corneal dystrophies like keratoconus.  Typically a person with keratoconus has a lot of astigmatistm, distorted vision and possibly sensitivity to light.  The cornea starts to protrude in a “cone-like” fashion.  Most of the time a specialty contact lens can help these patients see clearer and may prevent the corneal dystrophy progression.  In advanced cases, the apex of the cornea may thin so drastically from keratoconus that a corneal transplant may be necessary.

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One Cause of Red Eye – Subconjunctival Hemorrhage

“I woke up this morning and my eye was really red – like there was blood on the white of my eye!”

This is a very frightening looking condition affecting patients.  They come in with a  red eye – like a bright red blood patch on the white of their eye –  but, there is no pain, discharge or blurriness to their vision.   Sometimes the eye may feel a little bit “scratchy” or irritated but, that is usually rare.  Sometimes they are caused by trauma to the eye but, most of the time they occur without any injury sustained to the eye – they just seem to appear “out of nowhere”.

It is called a Subconjunctival Hemorrhage – or “Subconj Heme” for short.  It is caused when one of the tiny blood vessels on the white of your eye ruptures and that tiny drop of blood gets trapped between the white of your eye (the sclera) and the clear skin that covers the sclera (called the conjunctiva).  Sometimes this blood vessel breakage can be caused by a strong cough, vomiting, lifting something heavy, constipation strain, a stong sneeze etc.  This “trapped” blood usually takes about 7-14 days to clear up.  It is sort of like a bruise under the skin (but here the “skin” is the clear conjunctiva)….first the color is red and bright then over time it may turn different colors over time and become a bit yellowish before it completely clears up.

If you are on a “blood thinning” medication – it can cause the blood vessel to take a longer time to stop bleeding and a small blood spot can quickly become a much larger one due to the delay in clotting.  Many times a patient may be taking aspirin, coumadin or warfarin (these are blood thinning oral medications) or some type of herbs that can cause cause blood thinning and bleeding risks like St John’s Wort, Cayenne Pepper, Garlic, Ginger and Ginkgo.  People with high blood pressure and/or diabetes can also be at higher risk for developing a “Subconj Heme”.

It is always a good idea to go to see your eye doctor if you have a red eye and think you may  have a subconjunctival hemorrhage.  Many red eyes look alike and the doctor can tell you if you really have a subconj heme or if the redness is being caused by an eye infection or other serious condition.  If it is a subconj heme then the doctor can determine if you need to be sent for further investigation of possible blood/bleeding disorders.

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Diagram of Your Eye

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PLACE YOUR MOUSE OVER THE MAGNIFYING GLASS
AND USE IT TO MOVE THE MAGIFIER OVER
EACH PART OF THE EYE

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A Blogger’s Event: Eye Exams, Lenscrafters and BlogHer

Dr Bearden is currently on the Lenscrafters Optometric Advisory Council (LOAC) with other Doctors and Lenscrafters leaders from around the country.  Dominque Simon is the Regional Director of Operations for Lenscrafters in New York and also a member of the LOAC.  Dominique (she’s in the back row, farthest to the right in the above pic) informed Dr Bearden of this really cool Blogger event hosted by Lenscrafters in NYC…

In August, LensCrafters hosted a private in-store event for BlogHer bloggers in the NY area to teach parent bloggers about the importance of eye health and style for themselves and their families. The event was held at the Lenscrafters flagship store in Manhattan on 5th Ave in New York City. Bloggers also received tips from LensCrafters on how to make the most out of eye exams and best practices in working with eye doctors.

The event was led by LensCrafters’ VP of Eyecare, Dr. Eliot Grossman and Dr. Shirlie Dowd. Additional LensCrafters’ Eye Doctors were on hand to mingle with Bloggers and conduct eye exams throughout the event.  Style experts were also on hand to help Bloggers to select the right style frames for their face and the best lenses for them.

BlogHer Reviewers take a closer look at LensCrafters:

On the August night in Manhattan, BlogHer’s gathered with the folks from LensCrafters to enjoy some good company, learn some things they didn’t know about eye health, try on new frames with the help of stylists and basically have a pretty good time doing it. They’ve captured the event in their blogs and we think you’ll be surprised by what they each took away from the experience.

Debi was amazed by what she learned:

“Did you know that 10 MILLION children in this country need glasses but aren’t wearing them!?! I had no idea. I was actually quite stunned.”

ChefDruck found a new appreciation for the importance of eye exams:

“Your eyes are valuable, being blind would be terrifying, so why avoid eye exams? They had my attention.”

Victoria appreciated the timing of the event:

“Our rockstar pediatrician dropped the bombshell at her all important 5 year check up that Miss Natalie succeeded at failing her vision test; he also recommended a follow up exam elsewhere. Lovely. Minutes later I saw a Blogher ad announcing their event with LensCrafters…”

Pretty Lady was impressed with the presentation:

“Pretty Lady is pleased to inform you that Lenscrafters has formulated a Serious Educational Agenda, which, unlike a great many commercial endeavors, actually managed to educate her.”

Kimberly found out that eye exams are incredibly important for your overall health:

“But what I didn’t know is that your eyes aren’t only the windows to your soul, they can also be the best windows to your health.

Check Out the BlogHer Blogger’s Blogs……(try saying THAT 10 times fast!):

http://loveisnewadditionstothefamily.blogspot.com/2008/08/open-your-eyes.html

http://www.parentingourchildren.com/have-you-had-your-eye-exam-yet/

http://plwellness.blogspot.com/2008/08/vision-on-fifth-avenue.html

http://chefdruck.blogspot.com/2008/08/is-swag-overdose-possible.html

From enjoying gourmet treats to the personal attention from all of the LensCrafters staff at the event, all of the bloggers had a wonderful time learning about eye health and eyewear fashion!!

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A Treatment for Dry Eye – Punctal Plugs

There are several treatments for Dry Eye including using artificial tears, prescription eye drop medications like Restasis, eating a diet that is rich in Omega 3 fatty acids (salmon, fish oil supplement capsules or flaxseed oil) and punctal plugs.

Dry eyes are very common problem for many people.  Symptoms of dry eyes can include burning, dry eye feeling, itching, intermittent vision blur (that clears up when you blink) and excess tearing (the brain’s natural response to eye dryness).

Punctal plugs are used when you are producing very little tear fluid to properly bathe your eyes.  The plugs are inserted into your puncta (the opening of your tear drainage duct) to help preserve what little tears that you do have.  Punctal plugs keep your tears ON the surface of your eye (instead of draining out the drainage duct).

The procedure is quick and painless and can be done right in the office examination room.  The plugs are inserted painlessly in our office in about 5 minutes.

There are 2 types of plugs – collagen (disolvable) and silicone (non-disolvable – but still removable if you ever want them removed).

At Visionary eyecare we usually insert collagen (disolvable ) plugs into the lower puncta of each eye as a trial test.  The plugs will usually last for 3-5 days.  In about a week, we will bring you back for a follow up.  If you are happy with the amount of moisture in your eyes at your follow up – then we proceed to insert the silicone (non-disolvable) plugs into your lower puncta.

If you feel that you would like more moisture – then we will insert the collagen (disolvable) plugs into your upper AND lower puncta and bring you back for a follow up in about a week.  If you are happy with the amount of moisture then we will proceed to insert the silicone (non-disolvable) plugs into all 4 puncta (the upper and lower puncta in each eye).

These plugs can also be called Lacrimal Plugs….and they are NOT felt once they are inserted into your punctas.

The Picture Above shows a Collagen Plug in the Upper Puncta and a Silicone Plug in the Lower Puncta.

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See the Inside of Your Eye …. the Way Your Eye Doctor Sees It!

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MOUSE OVER THE ABOVE IMAGE

TO SEE INTERNAL EYE STRUCTURES!

Your Eye Doctor needs to see the internal eye structures of your eyes to determine if your eyes are healthy.

You can move your mouse over the image above to see what your Eye Doctor sees during your Dilated eye health exam.  The doctor can see your optic nerve, your retina, your macula and your blood vessels inside your eyes.   Your doctor is looking for eye health changes like bleeding in your retina, tumors in your retina, macular degeneration, glaucoma, retinal holes, tears, detachments etc.

Most eye health issues DO NOT cause symptoms until it is too late…that is why is it VERY IMPORTANT to have an eye exam every 12 months even if your vision is not blurry and  has not changed at all.

Examining internal eye health can also help your Eye Doctor determine if you may have any SYSTEMIC problems going on that you may be unaware of – such as: Diabetes, High Blood Pressure, Cancer, High Cholesterol, Brain Tumors, Multiple Sclerosis,  Sickle Cell Anemia…and many, many  more.

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Fox News Video: Contact Lens Dangers

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View this video and give us your feedback in the  comments area below!

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YouTube Video: If You Don’t Have Any Vision Problems…Why Should You See an Eye Doctor?

You don’t have any vision problems….your vision is perfect……so why should you get your eyes examined yearly…or at all??  Do you know anyone who has really good eyesight…and feels that there is no reason to go to the eye doctor because they don’t need eyeglasses??

Well, the above YouTube video is for YOU and THEM!

A common misconception is that the only reason to see an eye doctor is to get some glasses, contacts or to get their prescription updated.  Does this sound familiar??

A comprehensive eye exam is MOSTLY about checking the HEALTH of your eyes.  A lot of eye health problems – diseases and disorders of the eyes (like glaucoma, retinal holes and tears etc) – do NOT cause any kind of symptoms (like blurred vision, headaches, pain, feelings of “pressure” in and around eyes etc…).

Just because you can see clearly, see colors correctly and don’t notice any vision problems does not necessarily mean that your eyes are healthy.

Did you know that a comprehensive eye exam can ALSO provide early detection of some SYSTEMIC problems.  All sorts of systemic problems – like Diabetes, High Blood Pressure, High Cholesterol, Brain Tumors etc….can be detected during a comprehensive eye exam. If your eye doctor suspects that you may have a systemic problem then, he or she can refer you to your primary care doctor for further evaluation and testing to determine if you have the systemic disease.

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