16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Herpes Simplex Keratitis: 36-year-old female presented to the Emergency Treatment Center (ETC) with one day of right eye pain, photophobia and decreased vision. WebOptometry Case Studies View real optometry marketing campaigns including tried-and-true optometry postcards! Acquired Ocular Toxoplasmosis: 42-year-old female with "fuzzy" vision for two weeks. We have a growing collection of peer review and peer discussion case studies, including case studies for IP optometrists, covering real life Lymphoma, Orbital. The questions at the end of each case are a good review for M3 Ophthalmology rotation final examination. There is a 4,000 character limit (including spaces and the bibliography). Giant reservoir formation from Ahmed seton valve. Basal Cell Carcinoma, Morpheaform subtype: 78-year-old male with complaints of enlarging left lower lid lesion. Enophthalmos Secondary to Metastatic Breast Cancer. He had stable chronic floaters but no flashes of light, eye pain, or other ocular symptoms. A 79-year-old man presenting for treatment of a chalazion on the left eye and follow-up care of his right anophthalmic socket. His wife mentioned that he exhibits a right head turn while watching television. Please enable scripts and reload this page. Carotid Cavernous Fistula: 46-year-old female patient presented twith double vision and visual distortion. Floppy Eyelid Syndrome. Patient was found to have macular edema and was referred to rheumatology for systemic evaluation with suspicion of inflammatory etiology. Serpiginous Choroiditis: 60-year-old male with 15 year history of serpiginous choroiditis reports a 2 day history of a new scotoma noticed on Amsler Grid testing of his right eye. Every discovery advances academic medicine and improves the vitality of our communities. Periorbital Necrotizing Fasciitis. Log in to make an appointment. Web Privacy Policy | Nondiscrimination Statement, This site uses tracking information. Our scientists are discovery-drivers, working to develop cutting-edge treatments. Adult Chlamydial Conjunctivitis: 23-year-old male with 6-week duration of red eye, Atopic Keratoconjunctivitis: 52-year-old male with poor vision, severe ocular itchin, and mucoid discharge. An 8-month-old girl's eye swelling appears to be getting worse when she presents at your clinic. They must be based on more than a unique clinical observation and clearly state the focus of the report, for example, interventions, diagnosis, and etiology. Progressive Supranuclear Palsy in a Patient with Progressive Nonfluent Aphasia: A case of an 81-year-old woman with limited eye movements, Pseudoabducens palsy: When a VI nerve palsy is not a VI nerve palsy. Spontaneous Retrobulbar Hemorrhage with Subsequent Orbital Compartment Syndrome. For example, Can intense pulsed light therapy reduce the recovery time for patients following chalazion excision? In this sample PICO question, patients who have had chalazion excision is the group of interest. 2023, New England College of Optometry Library424 Beacon St., Boston, MA 02115 Call: 617-587-5589 | Email: [emailprotected], Asian American Histories, Narratives, and Voices, Addressing Inequity in Health and Health Care, When you are on the results screen, click, You will see a pop-up menu of different article types. Transitioning to this new case report format will occur over the next year, with final implementation completed within the next 2 years. Methods: may email you for journal alerts and information, but is committed A 50-year-old man was noted to have optic disc edema and visual field defects in each eye. Vernal Keratoconjunctivitis: 8-year-old asthmatic male with reduced vision. Aqueous Misdirection: 88-year-old hyperopic female presented with left eye pain rated 10/10 and associated blurred vision, headache, nausea, and vomiting, Blebitis: 74-year-old with red eye after trabeculectomy, Competition Leads to Healthcare Savings: A systems based case from the VA. The discussion, although brief, is intended to give you a simple overview of each disease. Vision Loss After Contact Lens-Related Pseudomonas Keratitis. Choose from more than 140 specialties and sub-specialties for advanced medical training at MCW. Infantile (Congenital) Esotropia: 2 month-old female began crossing her eyes shortly after birth. This is a collection of case studies to help you get an insight on the typical history and initial examination of various Cystinosis: A 12-year-old boy with light sensitivity. Patient's ocular history is significant for bilateral retinoblastoma diagnosed at the age of 2 years, at which time he underwent bilateral enucleation followed by 6 weeks of radiation. Michael D. Twa, OD, PhD, FAAO The purpose of this editorial is to provide details on these revisions and guidance on how prospective authors should approach case report submissions to Optometry and Vision Science. Lattice Corneal Dystrophy Type II Meretoja's Syndrome: patient with anterior stromal corneal dystrophy, progressive decline in vision with glare, Laser Assisted Keratoplasty: 63-year-old female with history of Fuchs endothelial dystrophy and bilateral pseudophakic bullous keratopathy presents with decreasing vision in the right eye. Firework-Related Ocular Injuries: 48-year-old male presented July 4th with a firework injury to his left eye which when the patient leaned over a firework that had malfunctioned. We thank the Iowa Eye Association: Friends and Alumni of the Univeristy of Iowa Department of Ophthalmology and Visual Sciences. Finally in my fourth year of Optometry I understand why. What's the diagnosis? It's up to you to find out the most likely cause. The scar was present 10 years previously when she was evaluated for painless and slowly progressive vision loss. Seton Infection: Serratia Marcescens: 57-year-old white female with 1 day history of redness, swelling, and pain in her right eye. A 36-year-old female presented with a "bulging" and apparently swollen left eye noticed about one month prior to her visit. Case reports continue to play an important role in clinical education, highlighting novel observations and identifying new questions that could spawn future clinical and experimental studies. Patient referred from the retina service for dense cataract formation three days following pars plana vitrectomy. It has grown rapidly in size over the previous two weeks and is now obstructing her vision. Designed to provide a unique, specialized learning experience. Prospective authors should report cases that illustrate clinical decision making relative to the following: Interventions questions addressing the treatment of an illness or dysfunction, Diagnosis questions on the identification or determination of the nature and cause of a disease or condition, Etiology questions addressing the cause or disease origin, including risk factors for a certain disease or condition, Prognosis questions on the prediction of the course of a disease, Prevention questions related to reducing the chance or impact of disease by identifying and modifying risk factors, screening, and early diagnosis. Use of Ophthalmic Medications in Pregnancy: A 19-year-old pregnant woman at 19 weeks gestation was referred for evaluation and treatment of suspected Acanthamoeba keratitis. The growing use of contact lenses in children demands our attention with surveillance and case-control studies. He often had to cover one eye to read comfortably, Down Syndrome: 14-month-old male with intermittently crossed eyes, Duane Retraction Syndrome: 31-year-old Male With Globe Retraction, Goldenhar Syndrome (Oculo-Auriculo-Vertebral Spectrum): 6 day-old male with limbal dermoids. Nasolacrimal duct obstruction secondary to sarcoidosis. ARMD is the WebOphthalmic Case Studies/ Ophthalmic Case Study 2 Case Study 2 - CC: Red, itchy eyes all Patient Visit Patient History HPI: The patient is an 11 year-old male who reports a 4 Dramatic Visual Recovery in Untreated Indirect Traumatic Optic Neuropathy: Severe vision loss in one eye immediately after motorcycle accident. Best Vitelliform Macular Dystrophy: 30-year-old female referred for bilateral macular lesions. Treated with peginterferon and ribavirin for 6 weeks prior to visit. Acquired Peripheral Retinoschisis: 83-year-old male was referred to our retina clinic for a retinal detachment which was described as close to the macula in his right eye. All rights reserved. A bedside ocular examination was remarkable for a linear, horizontal corneal epithelial defect. Changing Trends in Sympathetic Ophthalmia: Sympathetic ophthalmia following repeated vitreoretinal surgery with no history of trauma. Aphakic Glaucoma: 5-year-old female was referred to the University of Iowa Hospitals and Clinics (UIHC) Glaucoma Clinic for evaluation of suspected aphakic glaucoma of the left eye (OS). 27-year-old male was referred for evaluation of a left medial canthal lesion. 71-year-old female referred for evaluation of a corneal scar in the right eye (OD). Malattia Leventinese (Familial Dominant Drusen), Pattern Dystrophy Associated with Myotonic Dystrophy, Giant reservoir formation from Ahmed seton valve. A woman with type 1 diabetes was evaluated, one week after an otherwise uncomplicated cesarian section, for decreased vision and multiple new floaters in both eyes. See actual mailing lists, optometry postcards designs, frequency of mailings, and all the details of real optometry marketing plans! He complained of blurry vision while reading and letters running together on the page. Enhancing learning, research, patient care and the health of the community. Also experiencing a foreign body sensation in both eyes and redness along the left lower eyelid. She also noted decreased perception of color and contrast. He had bilateral, diffuse, geographic-shaped, discrete, gray lesions at the level of Descemet's membrane. Chemical Eye Injury: A Case Report and Tutorial: A guide to emergent management and medical therapy to promote ocular surface rehabilitation, Cogan's Syndrome: 42-year-old Female with Interstitial Keratitis and Vertigo, Congenital Aniridia: 18-year-old male with suspected aniridia with corneal pannus involving both eyes. |Terms and Privacy| Non-Discrimination Notice, This is a collection of case studies to help you get an insight on the typical history and initial examination of various ophthalmic disorders. A 39-year-old healthy male reported intermittent episodes of "objects bouncing up and down" in his vision in his left eye lasting for seconds to minutes for the previous two months. Over the last ten years, she has experienced further painless vision loss OD. Going forward, case reports that do not explicitly focus on the application of evidence-based principles to clinical care will not be a priority for the journal. 3 years prior she had been diagnosed with an unusual vasoproliferative tumor in her left eye. Pathologic Myopia: 69-year-old woman presented for evaluation of decreased vision and "wavy lines" in the right eye for approximately one week. Hypotony: Late hypotony from trabeculectomy and Ahmed seton with resulting hypotony maculopathy: A 36-year old female presented with poor vision secondary to a low intraocular pressure (IOP) in her right eye. 56-year-old male with two-month history of progressive proptosis & drooping of the left upper eyelid and binocular diplopia for several weeks, Ciliary Body Leiomyoma: Clinicopathologic Correlation, Congenital dacryocystocele with spontaneous resolution: Full-term 10 day-old female referred to the pediatric ophthalmology clinic by dermatologist for a bluish mass inferior to the right medial canthus, Congenital Ptosis. Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: Phacoemulsification: Considerations for Astigmatism Management, Posterior capsular folds creating a Maddox rod effect following cataract surgery. AMERICAN ACADEMY OF OPTOMETRY. Myopia Myopia Case 1 CASE STUDY: Doug Ocular Rosacea: 62-year-old female with blurry vision and red, itchy eyes. (includes video), Communication Issues Following a Post Operative Surprise: Blurry Vision Following Cataract Surgery, Endophthalmitis: 82-year-old male status post phacoemulsification in the left eye with acute decrease in vision. Topics include, cataracts, cornea, 80-year-old male presented with diplopia and proptosis of right eye. Optometry Clinical Cases Facial Spasms in a Man Recently Released From the Hospital After a recent hospitalization for a hemicranial headache, a man presents Grant syndrome (Syndrome of precipitates on the trabecular meshwork): 60-year-old male referred for evaluation of elevated intraocular pressure (IOP), right eye with corneal edema.Treated with a laser peripheral iridotomy and started on bimatoprost and brimonidine/timolol. He wore spectacles with the right eye under-corrected to minimize his symptoms. His primary research interest is the visual optics of orthokeratology, particularly in relation to the correction of hyperopia and presbyopia, and use in myopia control. Spinocerebellar Ataxia with Ophthalmoplegia: 46-year-old male presenting with progressive esotropia. This site explains how to work through the EBP Process, and offers online EBP resources and case studies demonstrating use of EBP in action. Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema: bilateral painless progressive vision loss. The firework launched and directly contacted the left orbit. The patient noted a stable gray spot and visual distortion OD for the previous several weeks. Cholesterol Granuloma: 38-year-old male was referred to the University of Iowa oculoplastics service for evaluation of a right orbital mass. Cytomegalovirus (CMV) Retinitis: 36-year-old Indian male with HIV and decreasing visual acuity. The revised instructions included the following statement: Priority is given to cases that illustrate applications of evidence-based practice, critical thinking, novel mechanistic reasoning, or those that have importance to public health or health policy implications. Hydroxychloroquine (Plaquenil) Toxicity: 57-year-old female with bilateral central photopsias for two years. Pseudophakic Bullous Keratopathy: Deep Lamellar Endothelial Keratoplasty (DLEK) and Intraocular Lens (IOL) exchange with Anterior Vitrectomy. She was taken to the emergency room where an MRI was performed and demonstrated a left orbital lesion extending into the superior orbital fissure. Data is temporarily unavailable. He reports a sudden, painless Stickler Syndrome: 10-year-old male with family history of retinal detachment and optically empty vitreous. 2023 Medical College of Wisconsin. Clinical trials are invaluable in testing new treatments, drugs and technologies. Epithelial-Stromal and Stromal Corneal Dystrophies: Exposure Keratopathy in the Critically Ill: Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Acute Corneal Hydrops: 51-year-old male with keratoconus and history of rigid gas permeable (RGP) contact lens wear in the left eye presented with left eye redness, pain, light sensitivity, and tearing for 1 week. He had intermittent redness and mild foreign body sensation in both eyes. Homocystinuria: 18-year-old male presented to clinic for regular monitoring of ocular manifestations of methionine synthase deficiency type homocystinuria, specifically cobalamin deficiency of the Cb1G subtype. WebOptometry has several different modes of practice to choose from, including private practice, commercial, hospital, and community health centers to name a few. ANCA-associated granulomatous vasculitis (Wegener's granulomatosis): 54-year-old male with binocular vertical diplopia 4 months prior to presentation and progressively worsening. Orbital Cellulitis in a Child: 9-year-old female with left nasal pain, swollen, red left eye and diplopia in all gazes, Orbital Eosinophilic Granuloma: 16-month-old male patient with left-sided periorbital swelling beginning three weeks prior to presentation in the setting of an upper respiratory infection. Leiomyosarcoma: 53-year-old male with a bump along his left upper eyelid accompanied by mild discharge, but no pain, duration of one month. A 64-year-old woman comes to you after 2 weeks of symptoms. The double vision was worse with lateral gazes in both directions.. Cavernous Hemangioma: 31-year-old caucasian female with a painless, "dark spot" in her left visual field. The discussion, although brief, is intended to give you a simple overview of each disease. Congenital Ptosis. Evidence-based practice has three essential elements: a solid base of well-founded knowledge from unbiased clinical studies, a clinical practitioner who is informed and guided by this knowledge base, and respect for the individual preferences and unique context of each patient. The leading source of breaking news, news analysis, and emerging research reports in optometry, Optometry Times disseminates practical content by Find primary and specialty care near you. Successful case report submissions should no longer focus on rare and unexpected conditionsnovelty alone will not be sufficient for publication. Wolters Kluwer Health Shortly after treatment with intravitreal steroids and photodynamic therapy, her IOP spiked to 59 mm Hg. A temporal visual field defect is noted in each eye. Dispensing Case Studies. After a recent hospitalization for a hemicranial headache, a man presents with right hemifacial spasms and diplopia with binocular vision. TB Uveitis: 48-year-old A female with complaint of photophobia, tearing, and eye pain in both eyes. Optometry Clinical Cases (registration required; please note that the NECO Library staff does not recommend Medscape as a reputable source for anything but case Cystinosis: 4-year-old girl with failure to thrive, severe photophobia, and newly diagnosed renal insufficiency. Management of Amblyopia: Discussing Options for Treatment in the Age of the Internet, Monofixation Syndrome: 11-year-old female referred after inability to improve vision with refraction in the left eye, Non-accidental Trauma: An unresponsive infant with bilateral retinal hemorrhages. Prior to presentation, patient was followed by an otolaryngologist for his sinus disease and nosebleeds. Cranial Nerve IV (Trochlear Nerve) Palsy: 57-year-old male complaining of vertical diplopia after head trauma. Unilateral Optic Nerve Granuloma: Patient with bilateral panuveitis and unilateral optic nerve sarcoid granuloma, Carotid Cavernous Fistula: 46-year-old female patient reporting double vision and visual distortion, Chorioretinitis Sclopetaria: A Systems Based Approach to Eye Injury Prevention. The principles discussed apply equally to the plus and minus cylinder methods. Please confirm that you would like to log out of Medscape. Multiple endocrine neoplasia type 2B: A 27-year-old male presents with multiple eyelid lesions. Vascular Tufts of the Pupillary Margin: 68-year-old female presented to the retina clinic with a history of recurrent hyphema in both eyes (OU). She had multiple instances of spontaneous, non-traumatic hyphema for which she had eventually sought medical attention. Patient unable to assume typical supine position used for cataract surgery, Metastatic Choroidal Lesion: 61-year-old male presents with pain and blurry vision, right eye. Vitreous Syneresis: An Impending Posterior Vitreous Detachment (PVD): 60 year-old female with newly reported flashing lights and "large and stringy" floaters in the left eye. Eldeeb M, Chan EW, Omar A. Basal Cell Carcinoma, Morpheaform subtype, Bell's Palsy Treated with Facial Nerve Decompression, Bilateral Nasolacrimal Duct Obstruction after Adjuvant I-131 for Thyroid Cance, Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes", Cavernous Hemangioma: Painless Proptosis in a 62-year-old female, Chronic Progressive External Ophthalmoplegia (CPEO) - Kearns-Sayre Syndrome, Churg-Strauss Syndrome with Orbital Inflammation, Congenital dacryocystocele with spontaneous resolution. Acanthamoeba Keratitis: 39-year-old contact lens wearer with persisting keratitis & pain. Granular Corneal Dystrophy Discovered Following LASIK: A Clinicopathologic Correlation of Granular Corneal Dystrophy Type II and LASIK. Webevidence based practice in optometry for students, teachers and practitioners to discover resources and case studies and develop their understanding of EBP, on line resource Waldenstrom Macroglobulinema-Associated Retinopathy: Kyphotic Patient Presents for Cataract Surgery, Ocular Syphilis Presenting with Posterior Subcapsular Cataract and Optic Disc Edema, Bilateral Diffuse Uveal Melanocytic Proliferation (BDUMP), Painless Proptosis in a 62-year-old female. Infectious Crystalline Keratopathy (ICK): 72-year-old female with decreased vision. Through research, health care education, workforce development, and community health initiatives, AHW drives change. Age-related Macular Degeneration: Progression from Atrophic to Proliferative: Cat-Scratch neuroretinitis (Ocular bartonellosis). Conjunctival Melanoma arising from Primary Acquired Melanosis (PAM): 61-year-old Caucasian female presenting for evaluation of corneal mass OS found on routine exam about 2 months previous. July 8, 2014; available from http://EyeRounds.org/cases/190-choroidal-malignant-Melanoma.htm, Featured Case: MOG-IgG Associated Optic Neuritis, Miller Fisher Syndrome: Acute-onset diplopia and bilateral ophthalmoplegia, (MOG)-IgG Associated Optic Neuritis: Progressive vision loss left > right, Charles Bonnet Syndrome: I see people outside my home., Diabetic White Cataract: Bilateral white cataracts in a patient with untreated diabetes, Primary Vitreoretinal Lymphoma (PVRL): Six months of persistently blurry vision in the left eye, Copyright 2019 The University of Iowa. Were committed to meeting the needs of our changing population, and solving the significant healthcare provider shortage. Acute Macular Neuroretinopathy: 30-year-old woman presented for evaluation of vision loss in both eyes (OU) in the setting of a newly diagnosed transverse venous sinus thrombosis. Pembrolizumab (Keytruda) Induced Uveitis in a Patient with Metastatic Melanoma: 65-year-old male with history of metastatic cutaneous melanoma previously on pembrolizuamb presented to the comprehensive ophthalmology service with blurred vision worse in the left eye for the past 6 months. Can you identify what he's compensating for, and why? Two cases illustrating the presenting symptoms and comorbidities associated with floppy eyelid syndrome. Although these cases provide a little information on the typical presentation of various ophthalmic diseases it should not replace a personal consultation with an ophthalmologist or other eye care provider. Evidence-based case reports should be formatted to include a structured clinical question in the significance section of the abstract and a statement regarding the literature search strategy in the introduction. Holoprosencephaly and Strabismus. (Iridocorneal endothelial syndrome: Chandler Syndrome variant) Patient initially sought care for migraines with mild headache on the right side of her head and halos around lights through her right eye. Involutional ectropion: Options for surgical management of ectropion. Blepharospasm and Apraxia of Eyelid opening: "I Can't Open My Eyes": 72-year-old man with increasingly frequent difficulty opening his eyes, hw was also bothered by frequent contractions of the muscles around the eyes on both sides of his face which caused forcible eyelid closure. All Eyes on EvaporationLocation:VirtualSpeaker:Paul Karpecki, OD, and Doug Devries, ODWebinar: 9:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Jennifer Loh, MD, and Gregory Caldwell, OD, FAAOWebinar: 7:00pm EST, All Eyes on EvaporationLocation:VirtualSpeaker:Ranjan Malhotra, MD, FACS, and Kelly Nichols, OD, MPH, PhD, FAAOWebinar: 8:00pm EST. Authors will be required to articulate a specific clinical question. Iridocorneal Endothelial Syndrome (ICE) - essential iris atrophy: 63-year-old female with PAS, "iris mass", corectopia, and increased IOP OS. Patient with reduced vision and oval-shaped central scotoma in the central visual field of the right eye for two months. Currently treated with prednisone and methotrexate for Sjogren syndrome and inflammatory arthritis and was previously treated with hydroxychloroquine for 10 years, stopped one year ago. The flexibility of unrestricted funds allows MCW to continue addressing our most urgent priorities. A 72-year-old male presents with epiphora of the left eye, present for one year, worsening over the last month. Vision in the right eye was progressively more blurred. Between visual testing and MRI, can you offer her a diagnosis? He was asymptomatic on presentation. Autosomal Dominant Optic Atrophy: 47-year-old female with chronic, mildly subnormal vision. Blurry vision in the left eye for 2 weeks, Left eye pain and fuzzy vision 2 days after eye surgery, 2 brief episodes of vision loss in the R eye, Student Ophthalmology Medical Association (SOMA), Dennis P. Han, MD Advanced Ocular Imaging Program, Continuing Professional Development (CME), Advancing a Healthier Wisconsin Endowment, Recognize and describe the typical presentation of common conditions affecting the anterior and posterior segments of the eye, Consider a range of multiple etiologies when examining patients with eye or vision problems, including trauma, infection, congenital abnormalities, autoimmunity, vascular issues, metabolic deficiencies, and environmental causes, Recall the basic pathophysiology underlying numerous ophthalmic conditions, Evaluate the significance of clinical findings in relation to common ophthalmic diseases, Formulate a differential diagnosis after reviewing the patients history and ocular exam, Identify which laboratory tests or exams are appropriate to confirm and evaluate specific ophthalmic diagnoses, Discuss therapeutic options and treatment plans for a number of acute and chronic ophthalmic diseases. Bell's Palsy Treated with Facial Nerve Decompression: 68-year-old man presented to the eye clinic with five days of right-sided facial droop, which was associated with the inability to fully close the right eye and slurred speech. WebThe following case studies were entries in Cultural Competency Case Study Competitions for optometry students and residents implemented in 20 14, 2015, and 2020 by the Diversity and Cultural Competency Committee of the Association of Schools and Colleges of Optometry (ASCO). She developed mild light sensitivity in both eyes as well as mild, circumferential headaches during the four months leading up to ophthalmologic evaluation. What is your diagnosis? 2. 38-year-old male with blurry distance vision and problems seeing at night and significant glare from oncoming headlights when driving at night. True Exfoliation Syndrome:84-year-old male presented with gradually worsening blurry vision in both eyes (OU), left worse than right, over a period of several years. Can you provide it? Juvenile open-angle glaucoma: 22-year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP), Leber Hereditary Optic Neuropathy: A 17-year-old male presents with progressive, painless, bilateral vision loss, Malattia Leventinese (Familial Dominant Drusen): 30-year-old female with drusen, Pattern Dystrophy Associated with Myotonic Dystrophy: 56-year-old female presented with a one-year history of increasingly distorted vision OS described as "crinkled", RPE65-associated Leber Congenital Amaurosis, Unilateral Retinitis Pigmentosa: Visual field changes in a 31-year-old female.

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