Richard Hertle, MD, FAAO, FACS, FAAP

Richard Hertle, MD, FAAO, FACS, FAAP

Director, Pediatric Ophthalmology; Vision Center

Department(s):
Ophthalmology
Vision Center


Dr. Richard Hertle is a renowned pediatric ophthalmologist. Patients travel from all over the world to our vision center for treatment. He is one of the only ophthalmologists who performs a procedure that can improve congenital nystagmus, which is characterized by rapid, uncontrollable eye movements that blur vision. Until he helped develop this procedure in 1999, medical treatments to reduce the abnormal eye wiggle had limited success.

Locations

Akron Children's Hospital
Vision Center
Locust Professional Building
300 Locust St., Suite 490
Akron , OH 44302
Phone: 330-543-5290
Map & Directions

Other Locations:
Vision Center - Boardman
Vision Center - Brecksville

Medical School

Northeast Ohio Medical University, Rootstown, Ohio

Residency

Ophthalmology: Boston University Medical Center, Boston, MA

Fellowship

Ocular Motility: Veteran's Administration Hospital, Cleveland, OH
Pediatric Ophthalmology: Children's Hospital of Philadelphia, PA

Associations

Fellow, American Academy of Ophthalmology
American Association for Pediatric Ophthalmology and Strabismus
Fellow, American College of Surgeons
Society of Civil War Surgeons
Pediatric Eye Disease Investigator Group
Cogan Ophthalmic History Society
USA Hockey and Amateur Hockey Association of the U.S.

Publications

Hertle RW. A review of Nystagmus. Clinical & Surgical Ophthalmology 28:1, 2010

The Infant Aphakia Treatment Study Group. The Infant Aphakia Treatment Study: Design and Clinical Measures at Enrollment. (Member-Data Safety Monitoring Committee) Archive of Ophthalmology (In-Press).

Cronin, TH, Hertle, RW, Ishikawa, H, Schuman, JS. Spectral Domain Optical Coherence Tomography in Patients with Nystagmus. Journal of American Assoc Ped Ophth and Strabismus (In-Press).

Hertle, RW. Nystagmus In Infancy And Childhood: Characteristics And Evidence For Treatment. American Orthoptic Journal (In-Press)

Hertle RW, Felius, J, Yang, D, Kaufman, M. Eye muscle surgery for infantile nystagmus syndrome in the first two years of life. Clinical Ophthalmology, Dove Press. 2009:3;615-624.

Repka MX, Kraker RT, Beck RW, Birch E, Cotter SA, Holmes JM, Hertle RW, Hoover DL, Klimek DL, Marsh-Tootle W, Scheiman MM, Suh DW, Weakley DR; Pediatric Eye Disease Investigator Group Treatment of severe amblyopia with weekend atropine: results from 2 randomized clinical trials.J AAPOS. 2009 Jun;13(3):258-63.

Pediatric Eye Disease Investigator Group Pharmacologic Plus Optical Penalization Treatment for Amblyopia Steering Committee Arch Ophthalmol. 2009;127(1):22-30.

Pediatric Eye Disease Investigator Group Interobserver Reliability of the Prism and Alternate Cover Test inChildren with Esotropia Steering Committee Arch Ophthalmol. 2009;127(1):59-65.

Metzger, J, Hertle, RW, Avallone, J, Cheeseman, E A 25-month-old girl with vision loss,nystagmus, and anomalous head posture. Digital Journal of Opthalmology 15:2009

Hertle, RW, Reznick, L, Yang, D. Infantile aperiodic alternating nystagmus J Pediatr Ophthalmol Strabismus. 2009:42;93-103

Scheiman M, Rouse M, Kulp MT, Cotter S, Hertle R, Mitchell GL Treatment of convergence insufficiency in childhood: a current perspective. Optom Vis Sci. 2009 May;86(5):420-8.

Repka MX, Kraker RT, Beck RW, Birch, EE, Cotter, SA, Holmes JA, Hertle, RW, et. al. Treatment of severe amblyopia with weekend atropine: Results from 2 randomized clinical trials. J AAPOS 2009;13:258-63.

Scheiman M, Rouse M, Kulp MT, Cotter S, Hertle R, Mitchell GL .Treatment of convergence insufficiency in childhood: a current perspective. Optom Vis Sci. 2009 May;86(5):420-8.

CITT Study Group Long-Term Effectiveness of Treatments for Symptomatic Convergence Insufficiency in Children. Convergence Insufficiency Treatment Trial Study Group.(Vice Chair, Writing Committee) Optom Vis Sci. 2009 Aug 7

Hald ES, Hertle, RW, Yang, D Development and Validation of a Digital Head Posture Measuring System American Journal of Ophthalmology 2009:6:1092-100, 1100.e1-3. Epub 2009 Mar 9.

The Convergence Insufficiency Treatment Trial Study Group. The Convergence Insufficiency Treatment Trial: Design, Methods, and Baseline Data (Vice Chair, Writing and Steering Committees) 2008;Ophthalmic Epidemiology, 15:24–36

Hertle RW Nystagmus in infancy and childhood.Semin Ophthalmol. 2008 Sep-Oct;23(5):307-31

Maguire AM, Simonelli F, Pierce EA, Pugh EN Jr, Mingozzi F, Bennicelli J, Banfi S, Marshall KA, Testa F, Surace EM, Rossi S, Lyubarsky A, Arruda VR, Konkle B, Stone E, Sun J, Jacobs J, Dell'osso L, Hertle R, Ma JX, Redmond TM, Zhu X, Hauck B, Zelenaia O, Shindler KS, Maguire MG, Wright JF, Volpe NJ, McDonnell JW, Auricchio A, High KA, Bennett J. Safety and Efficacy of Gene Transfer for Leber's Congenital Amaurosis. N Engl J Med. 2008 Apr 28.

Zhu M, Hertle RW, Kim CH, Shi X, Yang D. Effect of binocular rivalry suppression on initial ocular following responses. J Vis. 2008:8.1-11.

Zhu, M, Hertle, RW, Yang D, Relationships between versional and vergent quick phases of the involuntary version-vergence nystagmus. Journal of Vision 2008:11;1-11

Pediatric Eye Disease Investigator Group. A randomized trial of atropine vs patching for treatment of moderate amblyopia: follow-up at age 10 years. (Steering Committee) Arch Ophthalmol 2008;126(8):1039-44.

Losee, JE, Afifi. A, Jiang, S, Smith, D, Chao, MT, Vecchione, L, Hertle, RW, et al. Pediatric Orbital Fractures: Classification, Management, and Early Follow-Up. Plastic and Reconstructive Surgery 2008:122;886-897.

Convergence Insufficiency Treatment Trial Study Group Randomized Clinical Trial of Treatment for Symptomatic Convergence Insufficiency in Children (Vice Chair, Executive Committee, Writing Committee) Arch Ophthalmology 2008:126;1336-1349.

Pediatric Eye Disease Investigator Group. A randomized trial of near versus distance activities while patching for amblyopia in children aged 3 to less than 7 years. Ophthalmology 2008;115(11):2071-8. (Steering Committee)

Pediatric Eye Disease Investigator Group. Instability of Ocular Alignment in Childhood Esotropia. Ophthalmol 2008;115:2266-2274 (Steering Committee)

Pediatric Eye Disease Investigator Group. Patching vs Atropine to Treat Amblyopia in Children Aged 7 to 12 Years: A randomized Trial. Arch Ophthalmol 2008;126:1634-1642 (Steering Committee, Principal Investigator, Writing Committee)

Yang D, Zhu, M, Kim, CH, Hertle RW. Vergence Nystagmus induced by motion in the ground plane: Normal response characteristics. Vision Res. 2007:47:1145-1152

Hertle, RW, Reese, M. Clinical Contrast Sensitivity Testing in Patients with Infantile Nystagmus Syndrome Compared to Age-Matched Controls American Journal of Ophthalmology 2007:143;1063-5.

The Pediatric Eye Disease Investigator Group. Stability of Visual Acuity Improvement Following Discontinuation of Amblyopia Treatment in Children 7 to 12 Years Old (Principal Investigator, Lead Author and Steering Committee) Archives of Ophthalmology 2007:125;655-9.

Yang, D, Zhu, M, Hertle RW. Version and vergence eye movements in optokinetic nystagmus induced by optic flow. Journal of Vision 6;1:2007.

The Vision in Preschoolers Study Group. Does Assessing Eye Alignment along with Refractive Error or Visual Acuity Increase Sensitivity for Detection of Strabismus in Preschool Vision Screening?. Invest Ophth Vis Science 2007;48:3115-3125; (Investigator)

Dell’Osso, LF, Hertle RW, Daroff RB. “Sensory” and “Motor” Nystagmus, Erroneous and Misleading Terminology Based on Misinterpretation of David Cogan’s Observations. Archives of Ophthalmology (In-Press) 2007.

Pediatric Eye Disease Investigator Group. Treatment of bilateral refractive amblyopia in children three to less than 10 years of age. (Steering Committee)Am J Ophthalmol 2007; 114:487-96

Hertle RW, The Eye Disease of Jefferson Davis (1808-1889) and The Confederate States Presidency 1861-1865. Survey of Ophthalmology 2006:51;596-600.

Hertle RW, Yang, D. Clinical and Electrophysiological Effects Of Extraocular Muscle Surgery On Patients With Infantile Nystagmus Syndrome (INS) Seminars in Ophthalmology, 21:103–110, 2006

Pediatric Eye Disease Investigator Group. Treatment of Anisometropic Amblyopia in Children with Refractive Correction. Ophthalmology 2006;113:895–903 (Investigator, Steering Committee).

Pediatric Eye Disease Investigator Group. A Randomized Trial to Evaluate 2 Hours ofDaily Patching for Strabismic and Anisometropic Amblyopia in Children Ophthalmology 2006;113:904–912 (Investigator, Steering Committee).

VanderVeen DK, Coats DK, Dobson V, et. al. Prevalence and Course of Strabismus in the First Year of Life for Infants With Prethreshold Retinopathy of Prematurity, Findings From the Early Treatment for Retinopathy Study. Arch Ophthalmology 2006:124;776-773. (Investigator)

Jacobs JB, Dell'Osso LF, Hertle RW, Acland GM, Bennett J. Eye Movement Recordings as an Effectiveness Indicator of Gene Therapy in RPE65-Deficient Canines: Implications for the Ocular Motor System Invest Ophthalmol Vis Sci. 2006:47;2865-2875.

Del Monte M, Hertle R. Extraocular muscle surgery for nystagmus. J Pediatr Ophthalmol Strabismus. 2006;43:200-204.

Vision In Preschoolers Study Group. (Investigator, Gold Standard Examiner) Random Dot E stereotest: Testability and reliability in 3- to 5-year-old children J AAPOS 2006;10:507-514.

The Pediatric Eye Disease Investigator Group. Two-Year Follow-up of a 6_Month Randomized Trial of Atropine vs Patching for Treatment of Moderate Amblyopia (Investigator, Writing and Steering Committees) Archives of Ophthalmology 2005:123;149-157.

The Pediatric Eye Disease Investigator Group. Randomized Trial of Treatment of Amblyopia in Children 7 to 17 Years of Age (Principal Investigator, Writing and Steering Committees) Archives of Ophthalmology: 2005:123:437-447.

Yang, D, Hertle RW, Hill VM, Stevens D. Gaze-Dependent and Time Restricted Visual Acuity Measures in Patients with Infantile Nystagmus Syndrome (INS) Am J Ophthalmol. 2005 Apr;139(4):716-718

Hertle RW, Kelly K, Yang D, Atkin J, ,Seward A, Shatnawi R, Hill V. X-Linked Infantile Periodic Alternating Nystagmus (X-IPAN). Ophthalmic Genetics 2005:26;77-84.

Hertle RW, Kowal, LM Yeates, KO. The Ophthalmologist and Learning Disabilities, Focal Points (American Academy of Ophthalmology, Volume XXIII No 2 March 2005

The Pediatric Eye Disease Investigator Group. A Randomized Pilot Study of Near Activites Versus Non-Near Activities During Patching Therapy for Amblyopia (Steering Committee) Journal Of AAPOS: 2005:9:129-136.

Early Treatment for Retinopathy of Prematurity Cooperative Group. The Incidence and Course of Retinopathy of Prematurity: Findings From the Early Treatment for Retinopathy of Prematurity Study (Co-Investigator) Pediatrics. 2005:(1);15-23

The Vision in Preschoolers Study Group Preschool Vision Screening Tests Administered by Nurse Screeners Compared with Lay Screeners in the Vision in Preschoolers Study Investigative Ophthalmology & Visual Science, (Investigator) 2005;46:2639-2648.

Liu M, Lee HC, Hertle RW, Ho AC. Retinal detachment from inadvertent intraocular injection of botulinum toxin A. Am J Ophthalmol. 2004 Jan;137(1):201-2

The Pediatric Eye Disease Investigator Group A Prospective, Pilot Study of Treatment of Amblyopia in Children 10 to < 18 Years Old. (Investigator, Writing and Steering Committee) American Journal of Ophthalmology 2004:137;581-581.

The Vision in Preschoolers Study Group. Comparison of preschool vision screening tests as administered by licensed eye care professionals in the vision in preschoolers study. Ophthalmology 2004:111;637-650, (Investigator)

The Pediatric Eye Disease Investigator Group A Randomized Trial of Atropine Regimens for Treatment of Moderate Amblyopia in Children (Investigator, Writing and Steering Committee) Ophthalmology. 2004:111;2076-2085.

The Pediatric Eye Disease Investigator Group. Risk of Amblyopia Recurrence After Cessation of Treatment. (Investigator, Writing and Steering Committees) Journal of AAPOS 2004:8;420-428.

Hertle RW, Dell’Osso LF, FitzGibbon, EJ, Yang D, Mellow SD. Horizontal Rectus Muscle Tenotomy In Children with Infantile Nystagmus Syndrome: A Pilot Study. Journal of AAPOS 2004:8;539-548.

Hertle RW, Anninger W, Yang D, Hill VM. Clinical And Electrophysiological Effects Of Extraocular Muscle Surgery On 15 Patients With Oculo-Cutaneous Albinism And Infantile Nystagmus. American Journal Of Ophthalmology 2004:138;978-987.

Stevens, DJ, Hertle, RW. Relationships Between Visual Acuity and Anomalous Head Position (AHP) in Patients with Congenital Nystagmus (CN). Journal of Pediatric Ophthalmology and Strabismus 2003:40;259-264.

The Pediatric Eye Disease Investigator Group The Course of Moderate Amblyopia Treated with Patching In Children: Experience of the Amblyopia Treatment Study (Writing and Steering Committees) American Journal of Ophthalmology 2003:136;620-629.

The Pediatric Eye Disease Investigator Group The Course of Moderate Amblyopia Treated with Atropine In Children: Experience of the Amblyopia Treatment Study (Investigator and Steering Committees) American Journal of Ophthalmology 2003:136;630-639

The Pediatric Eye Disease Investigator Group A Randomized Trial of Patching Regimens for Treatment of Moderate Amblyopia in Children (Writing and Steering Committees) Archives Of Ophthalmology 121:2003;603-611.

Robbins SL, Christian WK, Hertle RW, Granet DB. Vision Testing in the pediatric population. Ophthalmol Clin N Am 16 (2003) 253-267.

The Pediatric Eye Disease Investigator Group, A Comparison of Atropine and Patching Treatments for Moderate Amblyopia by Patient Age, Cause of Amblyopia, Depth of Amblyopia and Other Factors, (Steering Committee, Investigator) Ophthalmology 110:1632-1637:2003.

Cotter, SA, Chu, RH, Chandler, DL, Beck, RW, Holmes, JM, Rice, ML, Hertle, RW, Birch EE, Moke, PS. Reliability of the Electronic-ETDRS Testing Protocol in Children 7 to <13 Years Old. American Journal Of Ophthalmology 2003:136;655-661.

Hertle RW, Dell’Osso LF, FitzGibbon, EJ, Thompson DJS, Yang D, Mellow S. Horizontal Rectus Tenotomy In Patients with Congenital Nystagmus: Results In Ten Adults (Ophthalmology 2003:11;2097-2115)

Miura K, Hertle RW, FitzGibbon EJ, Optican LM. Effects of tenotomy surgery on congenital nystagmus waveforms in adult patients. I. Wavelet spectral analysis Vision Res. 2003 Oct;43(22):2345-56.

Miura K, Hertle RW, FitzGibbon EJ, Optican LM. Effects of tenotomy surgery on congenital nystagmus waveforms in adult patients. II. Dynamical systems analysis Vision Res. 2003 Oct;43(22):2357-62

Depalo C, Hertle RW, Yang, D. Eight Muscle Surgical Treatment In A Patient With Acquired Nystagmus And Strabismus (Binocular Vision Quarterly, 2003:18;151-158)

The Pediatric Eye Disease Investigator Group A Randomized Trial of Prescribed Patching Regimens for Treatment of Severe Amblyopia in Children (Investigator, Writing and Steering Committees) Ophthalmology 2003:11;2075-2087.

The Pediatric Eye Disease Investigator Group Impact of Patching and Atropine Treatment on the Child and Family in the Amblyopia Treatment Study (Investigator, Steering Committee) Archives of Ophthalmology 2003:121;1625-1632.

The Pediatric Eye Disease Investigator Group. A randomized trial of atropine vs patching for treatment of moderate pamblyopia (Writing, Steering Committees). Archives of Ophthalmology 2002;120:268-278.

Prenner, JL Binenbaum, G, Carpentieri, DF, Goldstein, SM, Douglas, RS, Hertle, RW, Ruchelli, E, Katowitz, JA. Treacher-Collins Syndrome with Novel Ophthalmic Findings and Visceral Anomalies. British J. Ophthalmol. 2002;86:472-473

The Pediatric Eye Disease Investigator Group. The Clinical profile of moderate amblyopia in children younger than 7 years of age. Archives of Ophthalmology 2002;120:281-287 (Writing, Steering Committees).

Hertle RW, Maybodi, M, Reed GF, Guerami AH, Yang D, Fitzgibbon EJ. Latency of Dynamic and Gaze-Dependent Optotype Recognition in Patients with Infantile Nystagmus Syndrome versus Control Subjects. Ann N Y Acad Sci. 2002 Apr;956:601-603. ).

Hertle, RW, Dell’Osso LF, FitzGibbon EJ, Miles FA, Thompson, D, Yang, D. Preliminary Results of Performing the Tenotomy Procedure on Ten Adults with Congenital Nystagmus (CN). Progress in Strabismology, Proceedings of the 9th Meeting of the International Strabismological Association Sydney, Australia – 17-20 April 2002. Editor: Jan-Tjeerd de Faber, Swets & Zeitlinger Publisher, 2003, Exton PA, pp 295-298.

Hertle RW, Editorial On Behalf of The National Eye Institute Sponsored Classification of Eye Movement Abnormalities and Strabismus Workshop. A Next Step In Naming and Classification of Eye Movement Abnormalities and Strabismus. J AAPOS. 2002 Aug;6(4):201-2

Hertle RW, Clinical Trials in Medicine and Surgery During the American Civil War (1861-1865). Proceedings of the 2002 Meeting of The Cogan Historical Society (2002)

Hertle, RW, Chan CC, Maybodi, M, Galita, D, Crawford MA. Neuroanatomy of The Extraocular Muscle Tendon Enthesis In Macaque, Normal Human and Patients with Congenital Nystagmus. J AAPOS. 2002 Oct;6(5):319-27.

Hertle, RW, Maldanado, VK, Maybodi, M, Yang, D. Clinical and ocular motor analysis of the infantile nystagmus syndrome in the first 6 months of life Br J Ophthalmol 2002;86:670–675.

Dell’Osso LF, Hertle, RW. Effects of extraocular muscle tenotomy on congenital nystagmus in macaque monkeys. J AAPOS. 2002 Oct; 6(5):334-6.

Hertle, RW, Maybodi, M., Mellow, SD, Yang, D. Clinical and Oculographic Response to Tenuate Dospan (diethylpropionate) In A Patient With Congenital Nystagmus, American Journal Of Ophthalmology 2002:133;159-160.

Hertle, RW. Wilson MC: Adjunctive Use of Alpha-chymotrysin During Infantile Lensectomy and Vitrectomy. J Ped Ophthalmol Strab 2001:38;109-111.

Holmes, JM, Beck, RW, Repka, MX, Leske, DA, Kraker, RT, Blair, C, Moke, PS, Birch, EE, Saunders, RA, Hertle, RW, Quinn, GE, Simons, KA, Miller, JM for the Pediatric Eye Disease Investigator Group The Amblyopia Treatment Study Visual Acuity Testing Protocol Archives of Ophthalmology 2001:119;1345-1353.

Hertle RW, Avallone JM, Cheeseman E, Tsilou EK, Late Onset Oscillopsia In Patients with Congenital Nystagmus. Ophthalmology 2001:108;2301-2307.

Hertle, RW, Maybodi, M, Bauer, R, Walker, K. Clinical and Oculographic Response to Dexedrine In A Patient with Rod-Cone Dystrophy and Congenital, Aperiodic Alternating Nystagmus. Binocular Vision 2001:16;259-264.

Granet, DB, Ventura RH, Miller-Scholte A, Hertle, RW, Capistrano AP. Marked Variability In Designating The Diagnostic Gaze Position Angles In Ocular Motility Evaluations. Binocular Vision 2001:16;291-296.

Moke, PS, Turpin AH, Beck RW, Holmes JM, Repka MX, Birch EE, Hertle, RW, Kraker RT, Miller JM, Johnson CA. Development of a computerized method of visual acuity testing; adaptation of the amblyopia treatment study visual acuity testing protocol. Am J. Ophthalmol 2001:132;903-909.

Hertle, RW, Dell’Osso, LF, FitzGibbon, EJ, Caruso RC, Butman J, Yang, D, Mellow SD. Clinical, Radiographic and Electrophysiologic Findings In Patients with Achiasma or Hypochiasma. Neuro-Ophthalmology 2001, Vol.26, No.1, pp. 043-057

Cryotherapy for Retinopathy of Prematurity Cooperative Group. Mulitcenter Trial of Cryotherapy for Retinopathy of Prematurity: Ophthalmologic Outcomes at 10 years of age. Arch Ophthalmol. 2001;119:1110-1118. (Co-Investigator)

Cryotherapy for Retinopathy of Prematurity Cooperative Group. Effects of Retinal Ablative Therapy for Threshold Retinopathy of Prematurity: Results of Goldman Perimetry at the age of 10 years. Arch Ophthalmol. 2001;119:1120-1125. (Co-Investigator)

Cryotherapy for Retinopathy of Prematurity Cooperative Group. Contrast Sensitivity at age 10 years in children who had Threshold Retinopathy of Prematurity. Arch Ophthalmol. 2001;119:1129-1133. (Co-Investigator)

Hertle, RW, Zhu, X. Oculographic and Clinical Characterization of 37 Children with Anomalous Head Postures (AHP), Nystagmus and Strabismus: The Basis of An Algorithm for Clinical Diagnosis and Surgical Treatment. Journal of American Association for Pediatric Ophthalmology and Strabismus J. Amer. Assoc. Ped Ophthalmol. Strab 2000:4;25-32.

The STOP-ROP Multicenter Study Group: Supplemental Therapeutic Oxygen for Prethreshold Retinopathy of Prematurity (STOP-ROP), A Randomized, Controlled Trial. I: Primary Outcomes Pediatrics 2000; 105: 295-310. (Co-Investrigaotr)
Steigleman, A, Hertle, RW, Jain, A, Caruso, RC: Optic Nerve and Cortical Atrophy in a Patient with Hyper-IgM Syndrome, Neuro-ophthalmology 23:43-47, 2000.

Hertle RW: Discussion, Grand Rounds #59, A Case of Restrictive Strabismus Secondary to Orbital Wegener’s Granulomatosis. (Kushner BJ, ed). Binocular Vision and Strabismus Quarterly, 15:240-246;2000.

Hertle, RW, Raab EL, Ing, M, Helveston E. Infantile Esotropia, Eye to Eye. J Pediatric Ophthalmology and Strabismus 2000:37;228-231.

Stark, KL, Gibson, JB, Hertle, RW, Brodsky MC., Ocular Motor Signs in an Infant with Carbohydrate-Deficient Glycoprotein Syndrome Type Ia . Am J Ophthalmol 2000:130;533-535

Robinson, MR, Fine, HF, Ross, ML, Mont, EK, Bryant-Greenwood, PK, Hertle, RW, Nussenblatt, RL, Tisdale, JF, Young, NS, Zeichner, SL, Walsh, TJ. Sino-Orbital-Cerebral Aspergillosis in Pediatric Patients: A Report of 3 cases and Review. J Pediatric Infectious Diseases 2000 Dec;19;12:1197-203

Hertle, RW. Examination and Refractive Management of Patients with Nystagmus, Surv Ophthalmol 2000 Nov 1;45(3):215-222.


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