Lasik & PRK Frequently Asked Questions

August 4, 2018
Requirements for lasik eye surgery

Requirements For Lasik Eye Surgery

Requirements for Lasik eye surgery are simple to understand. It is generally understood by many that Lasik is an excellent vision improvement surgery and alternative option to wearing glasses. Glasses and contacts can be an inconvenience to many during daily activities. The following points are outlined for anyone interested in getting lasik eye surgery.

Your Eyes Must Be Healthy and Balanced 

You will need to wait till any of your eye related problems are solved before having Lasik. If you have any kind problems detected by your Michigan Lasik eye surgery specialist that could influence how your eyes react to the surgical procedure or recover you cannot undergo Lasik eye surgery. Preventative eye conditions include chronic dry eye disorder, conjunctivitis (pink eye), glaucoma, infections and also any kind of eye injury.

If you have been experiencing relentless dry eyes, where you do not create sufficient tears to maintain your eyes oiled state, LASIK could further intensify this problem. Typical signs and symptoms of dry eye syndrome consist of a painful or sandy feeling in the eye, minimized resistance to wind, recurring blurred vision, as well as an occasional flood of tears. Be certain to review everything with your physician or Lasik surgeon prior to the surgical procedure if you have or have had in the past, some of these signs and symptoms.

Your optometrist will better determine if you truly have dry eye syndrome at your preoperative examination as well as how to could effectively deal with the problem so you could enjoy the benefits of Laser eye surgery. Feasible therapies for dry eye syndrome consist of fabricated splits, tear duct plugs, medicated eye drops, flaxseed or fish oil supplements, or a mix of these methods to ensure proper maintenance of the eyes oil levels. Cataracts that hinder your normal vision as well as unrestrained glaucoma likewise will most often stop you from being a legitimate prospect for Michigan Lasik eye surgery.

Requirements for lasik eye surgeryYour Cornea Must Meet Thickness Standards.

Many refractive treatments boost vision clarity by improving the shape of the surface area of the eye, more commonly known as the cornea. Carrying out a laser eye procedure on a cornea that is excessively thin or has a surface area that is askew and uneven (like if you struggle with keratoconus) might jeopardize outcomes and also hinder your vision from properly healing after surgery.

If you have ever been informed in the past that you could not have LASIK due to the fact that your corneas are too thin to qualify for Lasik, current advancements might indicate that you’re now an appropriate prospect for laser vision correction, so we recommend going in to your local Michigan Lasik clinic to have an evaluation. Making use of a femtosecond laser rather than a microkeratome could allow your Lasik specialist to create a much thinner corneal flap and therefore perform a standard Lasik treatment on your eyes.

If you’re still not an excellent prospect for LASIK or PRK, regardless of technological innovations as well as strategies, an alternative refractive surgical procedure known as implantable lenses (phakic IOLs) is another sound option.

Your Pupils Size Is Important Too

 If your pupils are excessively large as if they are dilated, you sit at an increased risk of experiencing some negative effects from Lasik such as Halos, Flashers, Floaters, Starbursts and also issues seeing in reduced light settings. This can be dangerous, especially when driving at night.

Your Prescription Must Fall Within Certain Limits

 If your degree of refractive error is extreme, whether because of astigmatism, nearsightedness or farsightedness, your Michigan Lasik Eye surgery specialist might recommend you undergo a similar procedure known as Lasek in which a flap is not created on the cornea at all.

The typical outcome of LASIK for those with really high degrees of refractive error are much less foreseeable than the average candidate, creating a much higher risk procedure which is not often recommended by doctors.

For example, a high degree of nearsightedness, might call for elimination of excessive corneal cells placing you at enhanced danger of vision problems. If you have a serious refractive error, an alternative procedure known as phakic IOL implantable lenses or a clear lens exchange is recommended by most Michigan Lasik eye surgery experts.

You Must Meet Age Requirements

 Some laser eye treatments need you to be 18 yeas of age while others, 21. Individuals below these ages may still undergo Lasik at the discernment of their Michigan LASIK eye surgery doctor as well as proper approval from the individual’s parents or legal guardian.

There is no official age limitation to Lasik & PRK, although when you strike your 40s, you might still require eye glasses after Lasik. For this reason, your Michigan Lasik eye surgery expert will most likely recommend undergoing a clear Lens exchange as opposed to Lasik or PRK.

Your ophthalmologist might additionally consider you a prospect for refractive correction of presbyopia such as monovision LASIK, which could boost your near vision without the need for corrective eyewear such as contacts or glasses.

Ladies are more at threat for experiencing dry eye syndrome after going through menopause and males have a higher threat for experiencing dry eyes later on in life as their metabloisms begin to slow down in speed. As states earlier, a chronic dry eye problem such as dry eye syndrome ought to be dealt with prior to having LASIK or PRK.

You Must Have a Stable Vision Prescription

 Young adults and commonly experience continuous modifications in their glasses and contact lens prescription when visiting their optometrist from year to year. It’s crucial for any and all refractive error to be 100% stabilized for a minimum of 1 year prior to LASIK in order to ensure lasting results.

Teenagers and young individuals are bad prospects for Lasik up until their eyes have stabilized at one prescription for at least a year. Your Michigan Lasik eye surgery specialist will further determine whether or not your eyes are stable enough for Lasik.

You Must Be in Good Overall Health

 Health conditions that may place you as a high risk candidate for Lasik consist of type 1 diabetes, unrestrained degenerative problems or autoimmune conditions such as Sjogren’s disorder, autism, rheumatoid joint inflammation and AIDS (exceptions do apply).

If your body has difficulty with recovery, you will certainly be at much higher likelihood of experiencing an unsuccessful LASIK procedure.

Point of views differ amongst different Michigan LASIK eye surgery experts pertaining to which conditions are complete disqualifiers for Lasik candidacy as well as which ones may increase risk factors in particular situations.

Specific drugs could also create threats and risk factors connected with LASIK. Immunosuppressant drugs could conflict with post-op recovery as well as medications such as isotretinoin (Accutane) which might may increase the chances up experiencing a dry eye disorder after Lasik.

You Should Delay Surgery if You Are Pregnant

 LASIK is also not ideal if you are expecting or nursing. The hormone modifications occurring could change the form of your corneal surface, resulting in momentary adjustments in your vision.

If you are nursing, Lasik should not be performed until your hormonal agents as well as your vision have fully returned back to their natural state, often months after delivery.

Those who are nursing or expecting often experience dry eyes, which is an additional factor implying that you should delay LASIK several months after delivery and maternity. Some medicines that would generally be utilized prior to or after Lasik such as anti-biotics and hormonal steroids might be high-risk for your infant, whether expecting or nursing.

Do You Have Realistic Expectations?

While the bulk of LASIK patients experience superb results, you ought to be totally knowledgeable about the feasible side effects ad complications of Lasik prior to your decision to undertake to visit a Michigan lasik eye surgery clinic. A highly trained Michigan LASIK eye surgeon will certainly encourage you to correct your vision, whether you are an excellent prospect for Lasik, or may need to undergo an alternative procedure such as implantable contact lenses.

Posted in News by Luke Yaldo
July 30, 2018

By Eli Zaret, Yaldo Eye Center Spokesman

As a spokesman for Dr. Yaldo, a leading Michigan lasik eye surgery specialist, people ask me questions like, “How will I know if Lasik is right for me?” or, “Can I get Lasik if I have astigmatism? My optometrist says I can’t.”

My answer to #1 is, “Go see Dr. Yaldo for a free evaluation. The good news is that almost everybody is a Lasik candidate.”

My answer to #2 is a bit snarkier and generally goes, “Yes, astigmatism is easily treated with custom, topography guided Lasik from Dr. Yaldo. The most likely reason your optometrist advised against it is economically based: If you get Lasik then he’ll never get to sell you another pair of glasses, frames, contact lenses or eye exams!”

With all due respect to optometrists, there is a significant difference between optometry training and the training required for ophthalmologists.  Optometrists go to optometry school for four years. Ophthalmologists go to medical school for four years, followed by four years of residency.

In other words, an ophthalmologist is a medical doctor and an optometrist is not. Ophthalmologists do eye surgery and optometrists prescribe glasses and contacts. 

Another question came from someone who got Lasik from Dr. Yaldo and was beside herself with joy. She had had awful vision and couldn’t function without her glasses or contacts. With Lasik, she had better than 20-20 and never had to again worry about eye exams or fumbling around without glasses. She asked, “Will there come a day when everyone gets Lasik and optometrists go out of business?”

It’s a thought. In fact, it is reported that 96% of all Michigan Lasik eye surgery patients get 20-20 vision or better. And although about 600,000 people get Lasik every year, it still leaves many millions to continue to update changing prescriptions and allow the old technology of eye glass and contact lens machine to keep humming along.

Still, technology continues to upend industry after industry. I answered her question by saying that I doubted that glasses and contacts would be going the way of the Telex machine anytime soon.

25 years ago, the Telex machine was a game changer. You could send a document across the country in a matter of minutes. But in the 90’s, the Fax machine came along and every Telex machine was soon tossed in the dumpster. 15 years later, scanners came along and fax machines were almost instantly obsolete.

Eye surgery is a much tougher decision than buying a better phone, car or piece of office machinery.

But, getting a regular eye exam isn’t an elective decision, it’s a “must do” decision.

Should I see an optometrist or an ophthalmologist for regular eye exams?

In fairness, you can see either one. Optometrists can certainly determine your prescription and are also capable of detecting the “Silent” problems that can affect your vision, like Glaucoma, Macular degeneration, Cataracts and Diabetic retinopathy which can have devastating consequences if not addressed in a timely manner. You can even visit a Michigan lasik eye surgery clinic for your regular eye exams.

If you’re younger than 40 and have no eye problems, you should still get a routine exam every two-years. If you’re 40 or older, you should get your eyes checked every 1 to 2 years.

If you’ve had eye trouble in the past, or if you’re at risk for developing an issue that someone in your family has,  you should see an eye doctor every year. And this is especially so if you have high blood pressure or diabetes which can seriously affect eyesight.

It’s easy and health insurance generally covers it. Don’t worry if you don’t have vision insurance. That’s a different thing altogether. Eye exams are considered basic and essential medical care.

Call 1-800-398-EYES and get an eye exam. And see one of the top ophthalmologists in all of Michigan. And while you’re at it, you can ask about being a candidate for Lasik or one of the other miraculous procedures that can end your dependence on glasses and contacts.

You can even sign up on line. Just don’t request it by Telex or fax!


Who We Are

The Yaldo Eye Center is Michigan’s leader in eye care. From the most state of the art lasik technology to cataracts and glaucoma, the Yaldo Eye Center does it all. Dr. Yaldo began the practice in 1993 and now features 2 locations in Farmington Hills and Garden City. Schedule an appointment today and let the vision experts at Yaldo Eye Center treat your condition. If you are looking for a Michigan lasik eye surgery provider, who has years of experience with Michigan lasik eye surgery, look no further.

Posted in News by Eli Zaret
July 29, 2018

How Is LASIK Surgery Performed?

All Laser-assisted in situ keratomileusis, more commonly referred to as All Laser Lasik is the most commonly performed form of Michigan Lasik eye surgery in the treatment of farsightedness (hyperopia), nearsightedness (myopia) as well as astigmatism and any other type of refractive error

Your Michigan Lasik eye surgery specialist will utilize either a mechanical medical device called a microkeratome or a femtosecond laser to produce a round, slim “flap” in the cornea of the eye.

After that, the surgeon folds back the pivoted flap to access the underlying cornea (called the stroma) and begins to get rid of targeted corneal cells utilizing an Excimer laser.

This extremely specialized laser utilizes an invisible ultraviolet beam to ablate tiny quantities of cell tissue from the surface of the cornea to improve the shape so it precisely concentrates light on the retina for enhanced crystal clear vision.

For myopic individuals, the objective is to squash the cornea; with farsighted individuals, a steeper cornea is attained through the laser treatment.

Excimer lasers likewise could remedy astigmatism by smoothing an uneven cornea surface into a more natural formation. It is a false impression that LASIK cannot deal with astigmatism.

After the laser improves the cornea, the flap is relaxed in position, covering the location where the corneal cells were gotten rid of. The cornea is permitted to recover normally.

Laser eye surgical treatment calls for just topical anesthetic drops, as well as no stitches or plasters are called for.


Prior To LASIK Surgery

Your optometrist or ophthalmologist will certainly execute a complete eye test to guarantee your eyes are healthy and balanced for the treatment. They will certainly examine the form as well as density of your cornea ensuring the proper requirements for Lasik are met and note any refractive error such as astigmatism, myopia, and hyperopia.



Mild/moderate nearsightedness, hyperopia and/or astigmatism, sufficient corneal density

– Procedure time: 20 min (10 min per eye)

– Typical outcomes: 20/20 vision without glasses or lenses (20/15 with Catz Lasik)

– Recovery time: a couple of days to weeks for vision to properly stabilize

– Cost: regarding $1,500 to $2,500 each eye

The moistness of your eyes will certainly be assessed, as well as a preventive therapy might be advised to decrease your danger of experiencing dry eyes after LASIK.

Normally, a computerized tool called a corneal topographer is utilized to determine the curvature of the front surface area of your eye as well as produce a “map” of your cornea.

If your surgeon utilizes Wavefront Guided Lasik technology connected with personalized LASIK such as CATZ, you are most likely to go through a Wavefront evaluation that sends out light waves onto the eye to create a map of aberrations impacting your vision.

Your optometrist will additionally note your general health and wellness background and also any type of medications you are currently taking in order to determine if you are an ideal prospect for LASIK.


What should I Expect During a Michigan LASIK Eye Surgery Procedure?

Prior to your surgical treatment beginning, numbing eye drops are put on your eye to avoid any kind of pain or discomfort throughout the treatment. Your physician might likewise offer you some pain medicine in order to help you loosen up and relax during the procedure.

Your eye will gently be placed under the Excimer laser. Then a tool called a cover speculum is made use of to maintain your eyelids open in a comfortable way.

The specialist utilizes an ink pen to note the cornea prior to producing the flap. A suction ring is put on the front of your eye to unnecessary stop eye activity which can influence cornea flap quality.

After the corneal flap is developed, the Lasik surgeon makes use of a computer system to change the excimer laser to fire accordingly to your specific prescription or degree of refractive error.

The laser pulses will painlessly improve the cornea, although you could some stress (no pain) on your eye. You’ll listen to a consistent clicking audio while the laser is running.

LASIK is done on each eye individually, with each treatment taking as little as 5 mins for each eye.


After LASIK Surgery

After your LASIK procedure is concluded, your Michigan Lasik Eye Surgery specialist will certainly have you relax for a bit after surgery, preferably the rest of the day. (No driving after LASIK until your eye surgeon sees you next day and verifies you’re that your surgery was successful.)


LASIK Surgery Checklist:

  1. Pick a skilled LASIK surgeon. How many LASIK treatments has your eye surgeon carried out successfully? Do they utilize modern tools as well as modern technology such at CATz?
  2. Be truthful with your Ophthalmologist. Have you signaled for your optometrist regarding any kind of health and wellness problems you have or drugs you are taking?
  3. Are you knowledgeable regarding Lasik and the expenses of Lasik in Michigan?
  4. Evaluate the situation. Are you knowledgeable about the prospective issues and constraints of LASIK?
  5. Be realistic with your expectations. Do you have sensible assumptions of how a LASIK procedure can change your vision and life?
  6. You must anticipate some blurred vision as well as haziness right after treatment; nevertheless, quality of sight ought to enhance greatly by the really following morning.
  7. You will most likely be able to function normally the following day, yet numerous medical professionals still recommend a few of days off work.
  8. It is normally advised that you abstain from any kind of laborious workout for at the very least a week after surgery, considering that this could impact as well as distress eye recovery.
  9. Normally, you will return to see your optometrist or your LASIK surgeon the day after your treatment. At this preliminary examination, the doctor will check your vision making certain you are lawful to drive without glasses and that the Lasik procedure was successful
  10. Similar to other surgical treatments, following your physician’s directions as well as taking any recommended drops or medications is very critical to your healing. Stay clear of massaging or rubbing your eyes, as this might displace the flap till it heals


Long-Term Results.

Lasik gives you many advantages and also could substantially boost your confidence and your overall lifestyle. Most individuals experience 20/20 vision or better after Lasik, however LASIK outcomes do differ. Choosing a highly trained Michigan Lasik eye surgery specialist will ensure the best possible results.

A very small percentage of individuals may require a LASIK touch up a couple of months after the key LASIK surgical treatment or even require glasses to experience crystal clear vision. This is common when you undergo Lasik past age 50 or have an extremely high degree of refractive error.

While LASIK has a very strong success rate, it is very important that you review all elements of the treatment with your Michigan Lasik Eye Surgery specialist before choosing to have Lasik.


Newest LASIK Outcomes Are Better Than Ever, Researchers Find.

September 2016; Outcomes of contemporary LASIK, as gauged by aesthetic skill, refractive outcomes as well as patient satisfaction, are far better compared to ever before, in accordance with a meta-analysis of current research studies of the vision correction treatment.

A group of scientists from refractive clinics throughout the United States as well as in Germany assessed the outcomes of 97 LASIK researches results released between 2008-2015. The end results of almost 68,000 eyes that had undertaken LASIK were assessed.

Pooling information from the researches, the scientists discovered the following:

– 99.5% of eyes achieved an uncorrected range aesthetic skill much better compared to 20/40 after LASIK.

– 98.6% of eyes were within +/- 1.0 diopter (D) of the target refractive end result.

– 90.9% of eyes were within +/- 0.5 D of the target refractive result.

– 98.8% of people reported being pleased with their LASIK outcomes.

Results of these research studies were far better compared to those reported in previous studies and performance of earlier laser systems accepted by the U.S. Food and Drug Administration (FDA).

Posted in News by Luke Yaldo
July 26, 2018

Exactly what is Lasik and PRK vision correction?

Michigan Lasik eye surgery is a procedure that utilizes a cool, non-thermal beam of light to carefully reshape the cornea, the surface of the eye, to correct refractive error and enhance vision. The laser removes microscopic tissue to flatten the cornea (to correct nearsightedness), steepen the cornea (to remedy farsightedness) and/or smooth out corneal abnormalities (to correct astigmatism).

The objective of a laser eye treatment is to reshape the cornea so it can better focus light onto the retina for sharper, clearer vision. LASIK and PRK are the 2 most popular forms of laser vision correction.


Am I a candidate for laser vision correction?

Your Michigan Lasik Specialist is the final decider in this factor, yet below are some general standards:

  • Your vision should be stable for a minimum of a year before surgical treatment.
  • You must have healthy and balanced eyes meaning no infections, cataracts, glaucoma, extreme dry eye or any other problem that may affect postoperative healing.
  • Your hormone levels can influence the shape of your eye if you’re expecting or nursing. You should wait till your hormonal agents are back to regular levels before undergoing Lasik or any corrective eye surgery.
  • You must be age 21 or older (There are exemptions).
  • You may not have any degenerative or autoimmune condition, given that this would impact healing of the cornea after treatment.


Are LASIK and PRK safe?

The FDA acknowledges LASIK and PRK as proven, safe and effective. Laser vision correction utilizes a cool (non-thermal) beam that is often computer system managed. The surgeon switches the laser on and has the ability to stop it at any moment if something occurs. Numerous safeguards remain in place to minimize the threat of error. Nevertheless, dangers do exist to any surgery or medical treatment.


Although nobody truly knows the number of complications that have been seen with Lasik, studies show that the incidence of minor problems such as dry eyes and nighttime glare is around 3% to 5%, while the risk of major incidents such as lost vision is thought to be less than 1%. There are no recognized cases of loss of sight from LASIK or PRK. Again, results are usually very good. In order to minimize risk we recommend you have your procedure performed by a Michigan lasik eye surgery specialist with sufficient training and loads of cases under their belt.


Can I have both eyes treated at the same time?

It is very common that refractive surgeons carry out a LASIK treatment on both eyes at the same time. Since it takes longer for clear, comfy vision after PRK, lots of surgeons will wait a week or two in between eyes for PRK.


Is laser vision correction painful?

You should never feel discomfort during LASIK or PRK. Your Lasik surgeon will put anesthetic drops in your eye prior to treatment. Later, the doctor may prescribe pain meds if they are essential, yet for most they are not. Lots of LASIK patients report no greater than a mild discomfort for a day or two after surgical treatment. There is more pain after PRK due to the fact that the treatment exposes the deeper layers of the cornea. For clear and comfortable vision after PRK, protective surface cells need to grow back over the treated location. This procedure can take a week or 2, sometimes longer.


How long does LASIK take?

The laser treatment itself usually takes less than 60 seconds, while the entire procedure takes around 15 minutes per eye.


 How is Lasik superior to previous types of refractive eye surgical treatment?

Current FDA-approved laser vision correction approaches, such as LASIK (laser-assisted in situ keratomileusis), have a higher predictability positive results with a lower incidence of complications. Additionally, older methods usually included manual blade incisions rather than automated lasers as in Lasik.


What occurs prior to a laser eye treatment?

Your Michigan Lasik eye surgery specialist will give you a detailed eye examination to make sure your eyes are healthy as well as you’re an appropriate candidate for laser vision correction. He or she will certainly check for glaucoma, cataracts and also various other disqualifying problems. He or she likewise will certainly make use of a device called a corneal topographer to picture as well as digitally map your eye. The specialist will use this map to intend your surgery for the most specific outcomes possible.


What occurs on the day of eye surgery?

LASIK as well as PRK are outpatient treatments, which implies you’ll invest around an hour at the eye surgeon’s location. Somebody else needs to drive you home after surgery, since your vision will certainly be a little fuzzy right after the surgical procedure.


First, you’ll relax in a reclining chair. The surgeon will certainly put anesthetic eye drops in your eye, place your head under the laser and place an eyelid speculum (retainer) under your lids to gently hold your eye wide open.


In LASIK, the doctor creates a thin flap in the top of the cornea, folds it back, and then utilizes the Excimer laser to eliminate corneal tissue and then places the flap back in its original position. If you’re having PRK, no flap is developed. The excimer laser simply removes the external layer of the cornea (epithelium), which begins to grow back after the surgical procedure is complete.


Exactly what occurs afterward?

Your Michigan Lasik eye surgery specialist will put lubricating eye drops or ointment in your eye to aid in the healing process. You could kick back for a little while after that and stay home for the remainder of the day making sure not to put your body under any stress. You’ll most likely see clearer vision promptly after the procedure, and this will generally increase further as the week’s pass after surgery.


When can I go back to work?

The majority of people that have LASIK return to their functional lives the next day. With PRK, several Michigan Lasik Eye Surgeons suggest 2-3 days of relaxation before returning to work.


When may I go back to using make-up?

After Laser eye surgery, you could resume wearing make-up less than one week after your surgery. Toss out your old make-up as well to reduce your risk of catching an eye infection.


When may I return to driving?

You may return to your normal driving operations when you see all right, omitting the day you had LASIK or PRK carried out. Often the following day is ok.


Will I still have to visit the eye doctor after LASIK?

Depending on your surgeon’s safety practices, you will most likely return to visit them the next day after surgery for a quick post op visit ensuring a successful procedure. Another visit is common 1 week to 1 month later then a last visit 3 months down the road. If even more visits are necessary, your doctor will certainly let you know beforehand.


What type of side effects come with Lasik/PRK?

Some people may experience dry eyes after LASIK, which typically is relieved with lubricant eye drops as well as simply with time. In it is very rare, (less than 0.1%), that a patient’s vision does not become sharper as expected.


Will I still need glasses after LASIK or PRK?

While most individuals see very clearly without glasses after laser vision correction, you still might require or desire corrective lenses for sure activities (driving at night, for instance) if you have moderate recurring refractive error after surgical procedure but this is very rare when Lasik is performed by a highly experienced Michigan Lasik eye surgery specialist.


If you’re over age 50 as well as have indications of presbyopia, eyeglasses with progressive lenses will certainly provide you clear vision in all ranges and protect your eyes from dirt, particles as well as drying out from wind or air cooling units in the summer.


Since they safeguard your eyes from 100 percent of the sunlight’s UV rays and dim immediately in sunshine, photochromic lenses are advantageous. If you are sensitive to light after surgery.


What does it cost? Is laser vision correction very expensive?

There is no standard answer to the question “what does LASIK cost?” The costs of Lasik and PRK differ from one surgeon to another and differ even more greatly between patients. Costs vary from much less than $1,000 per eye to even more than $3,000 per eye. The average cost for all laser-based vision correction treatments in the united states is approximately $2,150 per eye. You should ask your Michigan Lasik Eye surgery Expert regarding the possibility of financing a procedure.


I have more questions regarding LASIK. Who should I ask?

The absolute best resource of info about LASIK and Lasek is a LASIK doctor, and a lot of them such as the Yaldo Eye Center provide 100% Free consultations for those interested in Lasik. All you have to do is make an appointment.

Posted in News by Luke Yaldo
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