Prosthetic Contact Lenses

Prosthetic contact lenses are prescribed to mask flaws and improve the appearance of an eye disfigured from a birth defect, trauma, or eye disease.

If certain structures of the injured or disfigured eye also fail to function properly, special prosthetic lenses can be designed to block excess light from reaching the back of the eye to reduce glare and increase comfort.

Your eye care practitioner can match prosthetic contact lenses to the appearance of a healthy eye by using a pre-made trial set or by ordering custom-painted contact lenses.

Like regular contact lenses, prosthetic contacts can be made of gas permeable or soft lens materials. And most prosthetic lenses can be cleaned and disinfected using the same multipurpose contact lens solutions recommended for conventional soft or gas permeable lenses.

Custom prosthetic lenses can be made in a wide variety of lens powers to correct nearsightednessfarsightedness and/or astigmatism, or they can be produced without corrective power to simply provide a more natural appearance to a blind or disfigured eye.

Eye Conditions That May Benefit From Prosthetic Contact Lenses

Many injuries, conditions and infections can lead to disfigurement of an eye and make an individual feel self-conscious about his or her appearance. Prosthetic lenses can be specially designed to match the appearance of the unaffected eye as closely as possible and make the disfigured eye less conspicuous.

Disfiguring conditions frequently treated with prosthetic contact lenses include incomplete formation of the pupil (aniridia), lack of pigment or color in the eye (albinism) and damage to the cornea from trauma.

People with albinism or other eye conditions creating light sensitivity (photophobia) can benefit from prosthetic lenses that reduce the amount of light entering the eye. Prosthetic lenses also are sometimes used to eliminate double vision (diplopia) caused by certain eye conditions.

Special prosthetic colored contact lenses sometimes are used to improve vision in cases of childhood amblyopia. Two identical-appearing colored contacts are worn, but one lens has an opaque pupil painted on it to block (occlude) light from entering the eye. This lens is worn on the eye with normal sight, forcing greater use of the amblyopic eye to improve vision development in the affected eye.

Occlusion therapy with prosthetic contact lenses can be more effective for treating amblyopia than the use of an eye patch, which children often resist or remove due to embarrassment. But amblyopia treatment with contacts is more expensive due to the cost of the prosthetic lenses.

How Prosthetic Contact Lenses Are Prescribed

The first step in being fit with prosthetic contact lenses is to have a comprehensive eye exam. During this exam, your optometrist or ophthalmologist will thoroughly examine your eyes to rule out conditions that might interfere with successful prosthetic contact lens wear.

The second step is to undergo a contact lens fitting. In addition to performing the steps in a normal contact lens exam and fitting, your eye doctor may also take close-up photographs of your eyes. These color photos are sent to the prosthetic contact lens manufacturer to help the company create a prosthetic lens that matches your natural eye color and appearance as closely as possible.

Some eye doctors who specialize in contacts for hard-to-fit eyes also may have fitting sets of sample prosthetic lenses on hand so you can get an immediate idea of how effectively the lenses can restore a natural appearance to your affected eye(s).

How to Maintain Your Eyeglasses

Though many of us wear glasses, very few of us realize the maintenance they actually need to keep our vision clear. Maintaining your eyewear isn’t difficult, but it does require special care. Read some of our tips for taking care of your eyeglasses

Tips for Maintaining Your Glasses

Avoid Chemical Contact

Your glasses can be very fragile depending on how they were made. Some lenses have films on them to provide UV protection, scratch or shatter resistance, or even to enhance your prescription. These films are the most fragile part of your glasses, and they can easily be destroyed by contact with certain abrasive chemicals.

While it’s obvious that you shouldn’t scrub your glasses with, say, bathroom cleaner, it’s much less obvious that everyday things we put on our skin, like lotions and sunscreen, can be nearly as bad for our sensitive glasses as the bathroom cleaner we all know we should never use.

These products can contain mild abrasives that do not harm (and sometimes can even help!) our skin but may harm the film on our glasses, especially with exposure over time.

Wash Your Hands

The only way to be certain that you are avoiding any chemical contact with your glasses is to wash your hands before handling them. Lotions and sunscreens are just two of the many things we can have on our hands; often our hands have all sorts of random things on them that we don’t notice or can’t see.

A simple hand washing before you handle your glasses can help to keep the abrasives from getting onto your lenses and can help keep everything clean.

Rinse Your Lenses

While you’re at the sink, run your glasses under a gentle stream of warm water. This will help to carefully remove any loose dirt or other debris that could scratch the lenses when you wipe your lenses.

If you were to omit this step, you might end up scratching your lenses with invisible debris. While the damage might not be visible immediately, it will degrade your lenses more quickly.

Use a Lens Cloth

Once your hands are clean and you’ve run your glasses under warm water, you can wipe the lenses off to remove any leftover oils and grime. Back away from that T-shirt and put down the paper towels! You should only use a cloth specially designed for lenses. Your local Eyeglass World will sell these as either lens cloths or microfiber cloths. Using a material that was not intended to clean glasses can and will do more damage than the little bits of dirt you’re trying to remove. 

Use a Cleaning Solution

Usually, a simple rinse and wipe is enough to get your frames back to top condition. However, there are always cases where we end up with grime that just won’t come off easily.

In these cases, you should only use a cleaning solution that you get from your optometrist. These cleaners are specially formulated to be very gentle on your glasses, whereas cleaners that might work on other forms of glass could be harsh and cause damage.

Store Them Correctly

Remember, when you’ve cleaned your eyeglasses, you need to be sure to store them properly to avoid having them collect more dirt, causing you to have to repeat the process more often than necessary.

Use the case your eyewear came in to store them. Hard cases generally provide more protection than soft cases. Even though they tend to be bulkier – they’re the safer choice.

If you have any questions, stop by any of our branches

Extended wear contact lenses: Are they safe?

Want to wake up with clear vision instead of searching for your glasses every time your alarm rings? If so, extended wear contact lenses might be the right choice for you.

In general, contact lenses can be categorized into two types, based on how long they are approved to be worn before being removed:

  • Daily wear (lenses you remove before sleep)
  • Extended wear (lenses you can wear overnight)

So what’s the difference between daily wear and extended wear lenses?

Most extended wear (EW) contacts are thinner than daily wear soft lenses, or are made of silicone hydrogel material. This advanced lens material enables EW lenses to “breathe” better than regular soft (hydrogel) lenses. This is especially important when lenses are worn continuously for extended periods.

Most extended wear soft contact lenses are approved for up to seven days of continuous wear, depending on your eye care professional’s recommendations. Some EW lenses are approved for up to 30 days of continuous wear.

Extended wear gas permeable lenses also are available.

It’s important to note that these are the maximum recommended wearing schedules. Many people cannot tolerate wearing EW lenses for this length of time, and some people’s eyes cannot tolerate any overnight wear of contact lenses.

During your contact lens fitting and follow-up, your eye doctor will advise you whether you can wear EW contacts overnight and how many days of continuous wear your eyes can tolerate.

Risks of extended wear contacts

Research has shown that the risk of eye infections is higher among people who sleep while wearing contact lenses.

Wearing contact lenses continually (day and night) increases this risk because bacteria and other potentially dangerous microorganisms can adhere to the lenses and get trapped between the lenses and your eyes.

These microbes thrive in the warm, moist environment under your contact lenses, especially when your eyelids are closed during sleep. And because contact lenses reduce the oxygen supply to the front surface of your eyes (corneas), your eyes are less able to fight off corneal infections.

Contact lens-related infections can range from an annoying case of pink eye to more serious conditions such as Acanthamoeba keratitis and fungal eye infections that can cause permanent vision loss.

You can order extended wear contact lenses from Eye update Clinic & Optical Supplies by calling: 08107531046 or 08034971582. You can also visit our facility at 01 Ajuwon bus stop off Elliot bus stop Iju Ishaga Ajuwon near Akute Alagbole (Lagos and Ogun residents)

Transposition of ophthalmic lenses

Transposition

by Andrew Othuke Akpeli

Introduction / definition

According to Efe (2012) transposition as the process of changing a lens prescription from one form to another equivalent form without  changing the value i.e. it is also  to rewrite the expression of its power without actually changing its value. It can also be define as the act of converting the prescription of an ophthalmic lens form a sphere with minus cylinder form to a sphere with plus cylinder form or vice vise. Example – 3D sphere – 2D cylinder axis 180 transpose to – 5D sphere + 2D cylinder axis 90 prescription consists of the sphere, cylinder and the axis. The sphere correct hyperopic and myopia, the cylinder corrects the amount of astigmatism and the axis shows where the stigmatism correction is located.

Types of transposition

Flat Transposition

Toric transposition

Flat transposition: This is the process of transposition whereby the cylinder power and spherical power is separated by 90. The flat transposition is use in the dispensing laboratory.

Toric transposition: This is the process of transposition whereby the cylinder power and spherical power is not separated by 90. The toric transposition is use in the production laboratory.

Lens prescription

Lens prescription can be written in any of this form

  1. Plano cylinder
  2. Sphero cylinder
  3. Cross cylinder

Plano cylinder: This has one surface plane and the other, either + or – cylinder eg (plano x 0.50DCx180)

Sphere cylinder:  This has one surface spherical and the other cylindrical eg +0.75DS -1.00DC x 50

Cross cylinder: This has one surface a cylinder and other another cylinder eg +1.50DCx180/0.75DCx90

Rules of transposition

  1. Transposition of sphero-cylindrical prescription from plus to minus cylinder (or vice versa)

Rules

Step 1: New spherical power: add the power of the sphere to the power of cylinder (algebraically) of a given prescription

Step 2: New cylindrical power: change the sign of the cylinder (plus or minus to the opposite sign) with same power.

Step 3: New axis: add or subtract 90 from the given axis (depending on which value is higher) i.e. if is below 90, add 90 to it but if is above 90 subtract 90. Let us now apply this rule to a specific sphero – cylindrical prescription.

  1. Given + 1.00DS – 1.00DC x 90

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From the on set, it is important to note that this prescription has been written in minus cylinder from. To convert it to plus cylinder form, we apply the rules as follows.

Rule 1: (new spherical power); (+1.00) + (1.00) = plano

Rule 2: (new cylindrical power) change the cylinder sign with same value = +1.00DC

Rule 3: (new axis) add or subtract 90 (depending on which value is greater) i.e if is below 90, add 90 to it but if it is above 90 subtract 90. 90 + 90 = 180. Therefore, the transposed plus cylindrical form of a given prescription is plano + 1.00DC x 180

  1. Given -2.00DS + 1.50DC x 45

To transpose this prescription from plus to its minus cylindrical form we apply same rules as follows:

Rule 1: (new sphere power) – 2.00 + 1.50 = – 0.50DS

Rule 2: (new cylinder power) change the cylinder sight with the same power -1.50DC

Rules 3: (New axis) i.e if is below 90, add 90 to it but if is above 90 subtract 90 45 + 90 = 135

Thus, the transpose form of this prescription into its minus cylindrical form is equivalent to :- 0.50DS – 135

Transposition of sphero-cylinders into cross cylinders

A sphero-Cylindrical prescription can be broken down into two cross-cylinder that it was originally made of this form of. This form of transposition is also guided by its set of rules

Rules

Rule 1. (1st Cross-Cylinder): Take the spherical power of a given sphero-cylinder prescription and write this as a cross cylinder with its axis 90 away from the axis of a given sphero-cylindrical prescription.

Rule 2. (2nd cross-cylinder) add the spherical and cylindrical power of a given sphero-cylindrical prescription and write this as cross cylinder with its axis same as the axis of the sphero-cylindrical prescription.

Rules 3. (both cross-cylinder) combine the two cross cylinder obtain from rule 1 and rule 2 above as the equivalent cross cylinder for the sphero-cylindrical prescription.

 The follow are some examples to illustrate the application of the rules

  • Given -4.00DS – 0.50DC x 90

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Rule 1. (1st cross-cylinder) -4.00DC x 180

Rule 2. (2nd cross-cylinder) -4.50DC x 90

Rule 3. (3rd cross-cylinder) +4.00DC x 180/-4.50DC x 90

  • Given: -1.50DS + 0.75DC x 45

Rule 1. (1st cross-cylinder) -1.00DC x 135

Rule 2. (2nd cross-cylinder) -0.75DC x 45

Rule 3. (3rd cross-cylinder) +1.50DC x 135/-075DC x 45

Transposition of 2 cross-cylinder into sphero cylinder

Rule 1: (sphere power) take either power of the 2 cross-cylinders as spherical power of the new sphero-cylinders as spherical power of the new sphero-cylinderical prescription.

Rule 2: (cylindrical power) subtract the power of the cylindrical chosen as sphere from the power of the second cross-cylinder and make this the cylinder of the new sphero-cylinder

Rule 3: (axis) take the axis of the cross-cylinder that was not chosen as sphere power as axis of the new sphero-cylinderical prescription

The following are some examples to illustrate application of the rule

  1. Given: +2.00DS x 180/+1.00DC x 90

Rule 1. (sphere power) + 2.00DS

Rule 2. (cylindrical power) +1.00 – (+2.00) = -1.00DC

Rule 3. (axis): 90

Therefore, the sphero-cylindrical prescription is: +2.00DC – 1.00DC x 90

  1. Given: -1.00DC x 135/-3.00DCx45

Rule 1. (sphere power) -3.00DS

Rule 2. (cylindrical power) -1.00 – (-3.00)

-1.00 + 3.00 = +2.00

Rule 3. (axis): 135

Therefore. The sphero-cylindrical prescription is: -3.00DC + 2.00DC x 135

Toric transposition

A toric lens is practical same as a cylindrical lens. By these design the surfaces of toric lenses are more curved (or bent) than the surfaces of cylindrical lenses. But unlike the flat cylindrical lens prescription, the toxic prescription will indicate the various curves that have been incorporated during the process of production to arrive at a particular prescription. This explain why a toric lens prescription have the following three parts

  1. The base curve (BC)
  2. The cross curve (CC)
  3. The sphere curve (SC)

To produce a particular prescription from a lens blanks these three components with their different powers will be generated in the factory. This process is called surfacing

Since most of the physical properties of toric lenses are similar to cylindrical lens and vice versa. This means that given a specific toric lens prescription, the sphero-cylindrical prescription of equivalent power can be deduced from it by applying the following rules.Related Topic  procreteconstruction 3 people Job Vacancy in Australia

Rule 1 (sphere power) = base curve + sphere curve

Rule 2 (cylinder power) = cross curve – base curve

Rule 3 (axis) same as axis of cross curve

The following example is meant to illustrate the application of those rules:

Rule 1 (sphere power): +2.00 + (-3.00) = -1.00DS

Rule 2 (cylinder power) +4.00 – 2.00 = +2.00DC

Rules 3 (axis) = 180

Sphero-cylindrical prescription: -1.00DS + 2.00DC x 180

Importance of transposition

After an optometrist has done a refraction for a patient, the optometrist takes the prescription to the optician and the lens prescription is given to be + 1.00DS-2.00DC x 180 and the optician check the stocks of lens available and founds that (+1.00DS – 2.00DC x 180) prescription is not in stock, what the optician need to do is to transpose the prescription.

+1.00DS – 2.00DC x 180

– 1.00DS + 2.00DC x 90.

So instead of the optician finding it as a problem of getting + 1.00DS-2.00DC x 180 the optician simply go for -1.00DS + 2.00DC x90 it makes dispensing cylindrical lenses easy instead of keeping your patient  waiting or ordering for more lenses when unknowing to you it is your stock.

Conclusion

In conclusion, transposition is important because it helps and optician to get an equivalent (same) prescription for a given prescription. It is also important for an optician to be acquitted with the knowledge of transposition. An optician should not be ignorant of keeping a patient waiting or placing an order for a cylindrical lens prescription when there is an alternative form of that prescription in stock, all you need to do is to transpose.

References

Efe Odjimogho, O.D. FNCO (2012). In laboratory manual, senior lecturer optometry department faulty of life science, university of Benin.

Mr. Nsubuisi Igboekwe (2013). Ophthalmic workshop dispensing lab ii

San Francisco, American Academy of ophthalmology 2011-2012

Allied Health on the job training kit 2011

Dallas American Health Association Academy of ophthalmology 2011 (Revised as appropriate)FacebookTwitterEmailWhatsAppPinterest

Glaucoma

Glaucoma

Glaucoma is a condition that damages your eye‘s optic nerve. It gets worse over time. It’s often linked to a buildup of pressure inside your eyeGlaucoma tends to run in families. You usually don’t get it until later in life. 

The increased pressure in your eye, called intraocular pressure, can damage your optic nerve, which sends images to your brain. If the damage worsens, glaucoma can cause permanent vision loss or even total blindness within a few years.

Most people with glaucoma have no early symptoms or pain. Visit your eye doctor regularly so they can diagnose and treat glaucoma before you have long-term vision loss.

If you lose vision, it can’t be brought back. But lowering eye pressure can help you keep the sight you have. Most people with glaucoma who follow their treatment plan and have regular eye exams are able to keep their vision.

Glaucoma Causes

The fluid inside your eye, called aqueous humor, usually flows out of your eye through a mesh-like channel. If this channel gets blocked, the liquid builds up. Sometimes, experts don’t know what causes this blockage. But it can be inherited, meaning it’s passed from parents to children.

Less-common causes of glaucoma include a blunt or chemical injury to your eye, severe eye infection, blocked blood vessels inside your eye, and inflammatory conditions. It’s rare, but eye surgery to correct another condition can sometimes bring it on. It usually affects both eyes, but it may be worse in one than the other.

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Glaucoma Risk Factors

It mostly affects adults over 40, but young adults, children, and even infants can have it. African Americans tend to get it more often, when they’re younger, and with more vision loss.

You’re more likely to get it if you:

  • Are of African American, Irish, Russian, Japanese, Hispanic, Inuit, or Scandinavian descent
  • Are over 40
  • Have a family history of glaucoma
  • Have poor vision
  • Have diabetes
  • Take certain steroid medications such as prednisone
  • Have had an injury to your eye or eyes
  • Have corneas that are thinner than usual
  • Have high blood pressure, heart disease, diabetes, or sickle cell anemia
  • Have high eye pressure
  • Are nearsighted or farsighted

Types of Glaucoma

There are two main kinds:

Open-angle glaucoma. This is the most common type. Your doctor may also call it wide-angle glaucoma. The drain structure in your eye (called the trabecular meshwork) looks fine, but fluid doesn’t flow out like it should.

Angle-closure glaucoma. This is more common in Asia. You may also hear it called acute or chronic angle-closure or narrow-angle glaucoma. Your eye doesn’t drain like it should because the drain space between your iris and cornea becomes too narrow. This can cause a sudden buildup of pressure in your eye. It’s also linked to farsightedness and cataracts, a clouding of the lens inside your eye.

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Less common types of glaucoma include:

Secondary glaucoma. This is when another condition, like cataracts or diabetes, causes added pressure in your eye.

Normal-tension glaucoma. This is when you have blind spots in your vision or your optic nerve is damaged even though your eye pressure is within the average range. Some experts say it’s a form of open-angle glaucoma.

Pigmentary glaucoma. With this form, tiny bits of pigment from your iris, the colored part of your eye, get into the fluid inside your eye and clog the drainage canals.

Glaucoma Symptoms

Most people with open-angle glaucoma don’t have symptoms. If symptoms do develop, it’s usually late in the disease. That’s why glaucoma is often called the “sneak thief of vision.” The main sign is usually a loss of side, or peripheral, vision.

Symptoms of angle-closure glaucoma usually come on faster and are more obvious. Damage can happen quickly. If you have any of these symptoms, get medical care right away:

  • Seeing halos around lights
  • Vision loss
  • Redness in your eye
  • Eye that looks hazy (particularly in infants)
  • Upset stomach or vomiting
  • Eye pain

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Glaucoma Diagnosis

Glaucoma tests are painless and don’t take long. Your eye doctor will test your vision. They’ll use drops to widen (dilate) your pupils and examine your eyes.

They’ll check your optic nerve for signs of glaucoma. They may take photographs so they can spot changes at your next visit. They’ll do a test called tonometry to check your eye pressure. They may also do a visual field test to see if you’ve lost peripheral vision.

Glaucoma Treatment

Your doctor may use prescription eye drops, oral medications, laser surgery, or microsurgery to lower pressure in your eye.

Eye drops. These either lower the creation of fluid in your eye or increase its flow out, lowering eye pressure. Side effects include allergies, redness, stinging, blurred vision, and irritated eyes. Some glaucoma drugs may affect your heart and lungs. Be sure to tell your doctor about any other medications you’re taking or are allergic to.

Oral medication. Your doctor might also prescribe medication for you to take by mouth, such as a beta-blocker or a carbonic anhydrase inhibitor. These drugs can improve drainage or slow the creation of fluid in your eye.

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Laser surgery. This procedure can slightly raise the flow of fluid from your eye if you have open-angle glaucoma. It can stop fluid blockage if you have angle-closure glaucoma. Procedures include:

  • Trabeculoplasty. This opens the drainage area.
  • Iridotomy. This makes a tiny hole in your iris to let fluid flow more freely.
  • Cyclophotocoagulation. This treats areas of the middle layer of your eye to lower fluid production.

Microsurgery. In a procedure called a trabeculectomy, your doctor creates a new channel to drain the fluid and ease eye pressure. This form of surgery may need to be done more than once. Your doctor might implant a tube to help drain fluid. This surgery can cause temporary or permanent vision loss, as well as bleeding or infection.

Open-angle glaucoma is most often treated with combinations of eye drops, laser trabeculoplasty, and microsurgery. Doctors tend to start with medications, but early laser surgery or microsurgery could work better for some people.

Infant or congenital glaucoma — meaning you are born with it — is usually treated with surgery because the cause is a problem with your drainage system.

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Glaucoma Prevention

You can’t prevent glaucoma. But if you find it early, you can lower your risk of eye damage. These steps may help protect your vision:

  • Have regular eye exams. The sooner your doctor spots the signs of glaucoma, the sooner you can start treatment. If you’re over age 40 and have a family history of the disease, get a complete eye exam from an eye doctor every 1 to 2 years. If you have health problems like diabetes or are at risk of other eye diseases, you may need to go more often.
  • Learn your family history. Ask your relatives whether any of them have been diagnosed with glaucoma.
  • Follow your doctor’s instructions. If they find that you have high eye pressure, they might give you eye drops to prevent glaucoma.
  • Exercise. Moderate activity like walking or jogging at least three times a week might help lower eye pressure.
  • Protect your eyes. Use protective eyewear when playing sports or working on home improvement projects

Eye Clinic Home

01 Ajuwon junction, Ajuwon bus stop, beside BPNL filling station, Ajuwon (near Akute, Alagbole, Lambe, Matogun, Giwa Okearo, Ojodu, Berger, Fagba & Iju-Ishaga).

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Wear a facial mask before visiting any of our branches. All patients and visitors to Eyeupdate clinic & optical supplies will be checked with non contact infrared thermometers and their hands will be sanitized before they are granted entry.
 
For enquiries, call: 08107531046, 07030000001
 
 

Next to life, God’s most precious gift is sight. At Eyeupdate Clinic and Optical Supplies, we are constantly working and improving to ensure that you experience life’s precious moments as crisp, crystal clear images. Our job is to ensure that your vision gets that professional touch using the state of the art technology in vision examination and vision care.

Our team of highly skilled eye doctors strive to deliver a better quality of life through the most advanced technological procedures and state-of-the-art equipment.

We are combining decades of experience as well as continuing education to ensure a thorough comprehensive eye examination, proper diagnosis of eye diseases and vision disorders, as well as an accurate prescription for your glasses and contact lenses.

We are also wholesalers and suppliers of optical/ophthalmic equipment and medical merchandize.

Eyeupdate Eye Clinic Tel 08107531046

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1, You always have a headache
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7, You have hypertension or it is in the family
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11, If you have never had your eyes examined before

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