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Healthcare MedicineTop 10 Best Eye Exam Software of 2026
Ranked list of top eye exam software picks, with practice-focused comparisons of Practice Fusion, EyeMD, OSS Vantage, Nextech, SiVIEW.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
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EyeMD EMR is the best fit for optometry groups that want templated exam capture plus device-linked documentation across multiple providers, whereas Nextech works better when you need structured exam records with device results kept in one chart.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
EyeMD EMR
Encounter templates tied to device result capture to keep exam data structured from room entry to charting.
Built for fits when optometry groups need templated exam capture plus device-linked documentation across multiple providers..
Nextech
Editor pickConfigurable exam templates that enforce consistent refraction workflow documentation order.
Built for fits when practices need structured exam documentation and device results in one chart..
SiVIEW
Editor pickTemplate-driven encounter document generation that standardizes refraction and exam results reporting.
Built for fits when optometry groups need consistent exam documentation from connected devices..
Related reading
Comparison Table
EyeMD EMR
vertical specialistCloud-based electronic medical records and practice management software designed specifically for ophthalmology and optometry practices.
Encounter templates tied to device result capture to keep exam data structured from room entry to charting.
EyeMD EMR maps common optometry steps into configurable exam templates so staff can capture visual acuity, refraction notes, and exam findings in a consistent order. The workflow is built around importing device results into the encounter rather than retyping values, which reduces transcription variance across exam rooms. EyeMD EMR also provides electronic health record integration mechanisms that help connect encounter data to downstream clinical documentation.
A tradeoff appears in onboarding for device connectivity and template configuration, because exam-room standardization depends on initial setup choices. EyeMD EMR fits clinics that run multiple optometrists and need the same exam flow every day, with less manual cleanup before chart finalization.
- +Exam template workflow reduces variation between exam rooms
- +Device-linked documentation cuts manual transcription during encounters
- +Clinical notes stay structured for follow-up visits
- +Interoperability support supports exchange of ophthalmic encounter data
- –Device connectivity depends on consistent room-level configuration
- –Template customization can be time-consuming for edge-case workflows
- –Advanced automation requires defined process discipline
Optometry practice managers
Standardize exam room documentation
Fewer chart edits
Optometrists
Finalize refraction and exam findings
Faster chart completion
Show 2 more scenarios
Clinical operations teams
Reduce transcription and mismatch risk
Lower documentation variance
Structured capture limits re-entry of key values and keeps the note aligned with recorded measurements.
IT and integrations staff
Connect ophthalmic encounter data
More consistent data flow
Interoperability mechanisms support clinical system exchange for shared patient information.
Best for: Fits when optometry groups need templated exam capture plus device-linked documentation across multiple providers.
Nextech
enterpriseSpecialty healthcare software includes ophthalmology and optometry clinical records, exams, scheduling, and billing.
Configurable exam templates that enforce consistent refraction workflow documentation order.
Nextech supports clinic exam documentation with configurable templates so clinicians can capture refraction workflow steps and exam measurements in a consistent sequence. Device and imaging data can be recorded within the patient visit documentation, which reduces manual transcription when staff already use supported ophthalmic hardware. Administration features support standardized workflows across multiple providers and locations, which helps reduce variation in documentation.
A tradeoff appears in the depth of workflow automation for complex, multi-visit plans, since highly customized automation beyond standard documentation often depends on implementation support. Nextech fits best for practices transitioning from paper or spreadsheets to structured exam capture while keeping the visit note and results together for each appointment.
- +Exam template configuration keeps measurements and notes consistently ordered
- +Clinic documentation stays tied to the same patient encounter record
- +Administrative controls support standardized workflows across providers
- +Integration paths reduce manual transcription from device outputs
- –Deep automation for complex plans may require implementation support
- –Workflow customization can be slower than simple form edits
- –Some advanced device workflows rely on specific integration coverage
- –Template design takes upfront effort before scaling to many providers
Optometry clinic operations
Standardize refraction visit notes
Fewer documentation inconsistencies
Multi-provider practice
Reduce variation between clinicians
More uniform visit records
Show 2 more scenarios
Ophthalmic device workflow teams
Record device outputs with encounters
Less transcription work
Integration-supported device results land in the patient visit documentation to cut manual re-entry.
Practice that centralizes records
Keep results and notes together
Quicker chart review
The system ties measurements and narrative documentation to the same encounter for faster review.
Best for: Fits when practices need structured exam documentation and device results in one chart.
SiVIEW
vertical specialistAI-assisted eye exam software suite connecting to existing refraction equipment for autonomous and remote exams.
Template-driven encounter document generation that standardizes refraction and exam results reporting.
SiVIEW supports configurable exam templates that standardize how clinicians record refraction workflow steps and measured findings. Report generation is built around structured encounter outputs, which helps reduce variation between exam lanes. Device connectivity and interoperability features focus on moving results into exam records and reports with fewer manual copy steps. The overall fit is strongest for teams that want repeatable encounter documentation tied to a predictable workflow model.
A tradeoff is that governance and configuration discipline matter for template changes, since exam structure drives what data can be captured consistently. SiVIEW works best when clinic managers can define exam templates and roles ahead of scaling to additional clinicians. It also fits situations where adoption depends on aligning device workflows to the template structure so results land in the right fields.
- +Structured encounter documents reduce variation across clinicians
- +Exam template customization enforces consistent capture of refraction workflow fields
- +Device interoperability supports faster movement of results into reports
- +Generated reports keep exam data in a consistent narrative format
- –Template-driven configuration requires careful change control
- –Advanced workflow deviations can require process workarounds
- –Some device integrations may be slower to adapt for edge-case setups
Optometry clinic operations
Standardize exam documentation across locations
Fewer documentation inconsistencies
Clinical team leads
Align device outputs to exam fields
Reduced manual entry work
Show 2 more scenarios
EHR workflow owners
Send exam findings into downstream systems
More complete chart entries
Interoperability supports moving structured encounter results for clinical documentation reuse.
Multi-provider practices
Maintain consistent clinician documentation
More uniform patient records
Template governance supports standardized encounter formatting even with multiple clinicians using the system.
Best for: Fits when optometry groups need consistent exam documentation from connected devices.
Compulink Advantage
enterpriseSpecialty practice software provides optometry EHR, exam documentation, imaging, billing, and patient management.
Guided exam template engine that ties refraction workflow steps to consistent documentation fields and visit-level output.
Compulink Advantage is eye exam workflow software focused on guided refraction and measurement capture tied to an optometry clinic flow. It provides exam template customization to standardize subjective and objective refraction steps and to keep documentation consistent across providers.
Device connectivity is handled through integrations built around ophthalmic exam instruments so results can be recorded without manual re-entry. It also supports electronic charting workflows that align exam findings to the rest of the patient record lifecycle.
- +Exam template customization standardizes refraction documentation across providers
- +Device-result capture reduces manual transcription during ophthalmic measurements
- +Workflow design keeps subjective and objective refraction steps in one visit
- +Charting flow supports ongoing exam documentation without extra handoffs
- –Device connectivity depends on supported instrument models and integration readiness
- –Automation depth is limited for highly customized clinic logic beyond templates
- –Interoperability tooling can require coordinator effort for external system messaging
- –Configuration overhead rises when many exam templates and variants are used
Best for: Fits when optometry practices need structured exam templates and instrument result capture across routine visits.
Crystal Practice Management
SMBOptometry practice management software includes electronic records, exam templates, scheduling, billing, and reporting.
Configurable exam template flows that standardize refraction and acuity documentation across visits.
Crystal Practice Management handles eye exam workflows inside a practice management system, with configurable exam templates that map capture steps to clinical documentation. It supports device and imaging data entry flows that can be structured to match routine visits, including visual acuity testing and refraction-related capture points.
The platform also manages appointments, patient charts, and follow-up tasks that keep exam data connected to the encounter record. Automation focuses on configurable workflows and repeatable visit templates rather than on code-based customization.
- +Exam template customization keeps subjective and objective capture steps consistent
- +Device and imaging fields can be structured to land inside encounter documentation
- +Visit-driven workflows link exam capture to scheduling and follow-up tasks
- +Repeatable encounter templates reduce variation across examiners
- –Ophthalmic device connectivity coverage can be narrower than specialized EHR-connected systems
- –Automation relies on configuration rather than an open API for custom workflows
- –Complex clinical decision support rules are limited by template-based configuration
- –Audit trail depth and role granularity are not as explicit for governance workflows
Best for: Fits when optometry practices need configurable exam templates tied to appointment and chart workflows.
Ocuco Acuitas
enterpriseEye care retail and practice software links clinical records, optical operations, inventory, and patient management.
Configurable exam template workflows that enforce structured documentation for subjective and objective refraction steps.
Ocuco Acuitas is eye exam workflow software built for optical and ophthalmic practices that need structured refraction and exam templates. Its core workflow support centers on capturing exam findings, standardizing subjective and objective refraction steps, and guiding technicians and clinicians through repeatable documentation.
Acuitas also fits practices that need connectivity to ophthalmic devices and downstream record systems through clinical messaging and interoperability patterns used in healthcare environments. Administration features focus on exam template control and role-based access so teams can standardize results entry across locations.
- +Strong exam template workflow for standardized refraction documentation
- +Device integration options for common ophthalmic test steps within the exam
- +Role-based access supports controlled data entry across clinical roles
- +Consistent capture of subjective and objective findings within one workflow
- –Device connectivity depth can depend on specific integration packages
- –Template setup and governance require deliberate configuration ownership
- –Advanced customization can slow adoption during early rollout
- –Workflow coverage varies by practice types and device ecosystems
Best for: Fits when multi-role clinics need repeatable refraction workflows tied to device results.
RevolutionEHR
vertical specialistCloud optometry software combines electronic health records with practice management and clinical documentation.
EHR-led exam templates that enforce structured ophthalmic documentation inside the longitudinal chart, not a standalone exam sheet.
RevolutionEHR differentiates from many eye-exam tools by pushing ophthalmic workflows into an electronic health record backbone that supports charting, visit structure, and device-capture patterns. It supports exam template customization for consistent documentation of refraction, acuity, and related measurements within the clinical record.
The product also provides integration paths via clinical messaging and standards-oriented interoperability, which matters when exam data must flow between optometry practice management and downstream systems. Automation and configuration are handled through role-based access and record governance controls that shape who can enter, edit, and export ophthalmic findings.
- +Exam template customization keeps refraction and acuity documentation consistent
- +Clinical messaging and interoperability help move ophthalmic results across systems
- +RBAC and record governance controls support multi-role clinic operations
- +Device-capture oriented charting reduces re-entry during visits
- –Ophthalmology-specific device connectivity may require planning per device model
- –Workflow tuning for varied exam styles can take admin time
- –Some ophthalmic measurement layouts feel more EHR-centric than exam-centric
- –Reporting for device-level outcomes can lag behind pure eye exam systems
Best for: Fits when an optometry or ophthalmology group needs EHR-led workflows plus ophthalmic documentation templates.
MaximEyes
vertical specialistOptometry practice software covers patient records, clinical exams, scheduling, billing, and optical operations.
Role-based exam template control for standardizing subjective and objective refraction documentation across clinicians.
MaximEyes is eye exam software focused on running refraction and core clinical exam workflows inside a practice setting. It supports exam template customization so exam steps stay consistent across clinicians and appointment types.
The workflow design emphasizes device-friendly capture for exam measurements and prescription-ready outputs in a single session. MaximEyes is typically evaluated for how well it fits optometry clinic operations that need standardized documentation and repeatable testing sequences.
- +Exam template customization keeps refraction and documentation consistent
- +Workflow layout reduces repeated clicks during patient visit charting
- +Built for fast capture of measurement results in an exam session
- +Outputs align to common optometry documentation needs
- –Device integration depth for major ophthalmic hardware is not clearly broad
- –Limited visibility into cross-visit clinical context for advanced governance
- –Automation and API surfaces appear narrow compared with top competitors
- –Admin tooling for multi-location standardization looks basic
Best for: Fits when an optometry clinic needs consistent exam templates and quick in-visit measurement capture with minimal workflow friction.
Topcon Harmony
vertical specialistCloud-based clinical image and data management platform with remote refraction capabilities for eye care.
Template-driven exam capture that binds Topcon device outputs to the correct encounter fields during the exam session.
Topcon Harmony coordinates an ophthalmic exam workflow by connecting Topcon device outputs into exam documentation and result capture. It is distinct for its device-centric orientation toward common eye exam steps like refraction capture, visual acuity recording, and imaging result association.
Harmony focuses on turning instrument sessions into structured exam data that can be carried into clinical documentation workflows. The system also supports configuration of exam templates so clinics can standardize how results are presented and stored across patients.
- +Strong Topcon-device connectivity that reduces manual result transcription
- +Exam template configuration supports consistent documentation across exam types
- +Structured capture links device output to the right patient encounter
- +Workflow design supports repeatable refraction and testing documentation
- –Best results depend on compatible device models and integration paths
- –Automation depth beyond instrument capture can be limited without add-ons
- –Cross-vendor device heterogeneity may require extra mapping work
- –Governance controls like fine-grained audit visibility can be sparse in practice
Best for: Fits when clinics standardize Topcon-centered exam flows and need consistent device-to-chart documentation.
Moyae
vertical specialistOphthalmology-specific EHR with IOP tracking, retina drawings, OCT integration, and AI-assisted documentation.
Configurable exam template engine that standardizes device capture fields into repeatable visit documentation.
Moyae is an eye exam software solution that targets end-to-end workflow capture from pre-test intake through exam result documentation.
It emphasizes configurable exam templates and structured device readings so staff can run consistent refraction workflow steps and vision testing sessions.
Moyae also focuses on exam data reuse through export-ready outputs that reduce retyping when moving between device capture, clinical notes, and prescriptions.
- +Exam template customization supports consistent refraction workflow steps
- +Structured capture reduces retyping when compiling exam results
- +Workflow screens map cleanly to common clinic visit sequences
- +Outputs are formatted for straightforward transfer into patient records
- –Ophthalmic device connectivity depth depends on supported integrations
- –Automation beyond templating requires admin effort and standardization
- –Limited visibility into cross-visit trends without extra reporting setup
- –Multisite governance controls are less explicit than in higher-ranked tools
Best for: Fits when a mid-size optometry workflow needs configurable exam steps with consistent documentation and low manual reentry.
Conclusion
After evaluating 10 healthcare medicine, EyeMD EMR stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right eye exam software
Eye exam software vendors are evaluated by how they enforce structured refraction workflow documentation inside the chart, and how consistently connected device results map into encounter fields. This buyer’s guide covers EyeMD EMR, Nextech, SiVIEW, Compulink Advantage, Crystal Practice Management, Ocuco Acuitas, RevolutionEHR, MaximEyes, Topcon Harmony, and Moyae.
Practice leaders comparing these tools focus on template-driven encounter capture because exam-room data can fragment when documentation order and field mapping are not governed. The guide also checks whether automation depth and device connectivity depend on room-level configuration or on supported instrument models tied to a defined workflow.
Eye exam software for structured refraction workflow capture, device result mapping, and encounter documentation
Eye exam software manages the end-to-end exam workflow by turning measurements and notes into repeatable encounter documentation, especially for subjective refraction and objective refraction steps. Tools such as EyeMD EMR and Nextech center that structure on configurable exam templates that keep measurements and chart text in a consistent order across clinicians.
The category also differs on how template logic connects device outputs to the right encounter fields during the visit. EyeMD EMR emphasizes encounter templates tied to device result capture, while Nextech emphasizes configurable exam templates that enforce refraction documentation order and keep clinic documentation tied to the same patient encounter record.
Eye exam software capabilities that govern refraction documentation and device-to-chart mapping
Structured refraction workflow capture matters because subjective refraction fields and objective measurement fields need a consistent documentation order across clinicians, not ad hoc charting. Eye exam software that centers exam template flows reduces variation by enforcing where each step lands in the longitudinal encounter record.
Device-linked encounter templates that preserve structured exam data capture
EyeMD EMR ties encounter templates to device result capture so exam data stays structured from room entry to charting. Topcon Harmony binds Topcon device outputs to the correct encounter fields during the exam session.
Refraction workflow ordering enforced by configurable exam template engines
Nextech uses configurable exam templates that enforce consistent refraction workflow documentation order. SiVIEW generates template-driven encounter documents that standardize refraction and exam results reporting.
Template-driven standardization for multi-clinician exam documentation consistency
Compulink Advantage uses a guided exam template engine that ties refraction workflow steps to consistent documentation fields and visit-level output. RevolutionEHR provides EHR-led exam templates that enforce structured ophthalmic documentation inside the longitudinal chart.
Governance and change-control for template customization without drift across rooms
SiVIEW requires careful change control for template-driven configuration to prevent template drift across clinicians. Ocuco Acuitas requires deliberate configuration ownership because template setup and governance shape how repeatable refraction workflows stay across roles.
Instrument integration coverage that determines whether device results reduce retyping
Crystal Practice Management supports structured encounter documentation fields for device and imaging entries but its ophthalmic device connectivity coverage can be narrower than specialized EHR-connected systems. Moyae and MaximEyes depend on supported integrations for device connectivity depth beyond templating.
Choose by integration depth, template control model, and automation surface area
Selection should start with how the system binds exam steps to the chart because exam template engines can standardize documentation order while device mapping determines whether measurements populate correctly. Eye exam software in this set varies on whether templates primarily drive encounter formatting or also govern device-linked result capture.
Map the clinic’s template variation problem to an encounter template control model
If multiple exam rooms need the same documentation sequence from device capture through charting, EyeMD EMR is built around encounter templates tied to device result capture. If the main friction is consistent documentation order for refraction steps, Nextech and SiVIEW focus on configurable templates that standardize the refraction workflow fields in a repeatable sequence.
Validate device-to-chart binding with the specific instrument models used in practice
If Topcon instruments dominate the exam workflow, Topcon Harmony binds Topcon device outputs to the correct encounter fields and reduces manual result transcription when device models match the integration paths. If instrument coverage varies by clinic site, Compulink Advantage and Crystal Practice Management should be validated for supported instrument models because device connectivity readiness can limit result capture.
Separate template enforcement from deeper workflow automation requirements
When only standardized template-driven capture is needed, platforms like RevolutionEHR and Compulink Advantage can fit because they keep exam documentation consistent through customizable templates. When complex plan automation exceeds template boundaries, Nextech’s deeper automation for complex plans can require implementation support and workflow customization may move slower than form edits.
Pick a governance posture that matches internal change-control capacity
If template changes require tight release control, SiVIEW’s template-driven configuration requires careful change control so variations do not creep into structured refraction fields. If governance ownership is available at the admin level, Ocuco Acuitas supports structured template workflows but needs deliberate configuration ownership.
Score fit on cross-visit clinical context needs beyond in-visit measurement capture
If cross-visit context and advanced governance visibility matter, MaximEyes has limited visibility into cross-visit clinical context for advanced governance even though its role-based exam template control standardizes subjective and objective refraction documentation. If the priority is in-visit measurement capture with reduced repeated clicks, MaximEyes’ workflow layout can reduce friction for standard exams.
Who should buy this category and which tools match the workflow shape
Clinics that run refraction workflows across multiple clinicians typically need template-driven structure so subjective and objective capture stays consistently ordered and lands in the right encounter sections. The best fit also depends on whether instruments are connected in a way that reduces manual transcription during the visit.
Optometry and ophthalmology groups standardizing exam rooms across providers
EyeMD EMR fits when encounter templates tied to device result capture keep exam documentation structured from room entry to charting across providers. SiVIEW also fits when consistent refraction and exam results reporting must remain structured from connected devices.
Practices that need structured refraction documentation order enforcement
Nextech fits when exam template configuration needs to enforce consistent documentation order across refraction workflow steps. Compulink Advantage also fits when guided exam template steps must land in consistent documentation fields and visit-level output.
Clinics centered on a specific vendor instrument ecosystem
Topcon Harmony fits when Topcon instruments are used and the workflow requires device outputs to bind to the correct encounter fields during the exam session. For mixed ecosystems, Crystal Practice Management should be validated because ophthalmic device connectivity coverage can be narrower than specialized systems.
Multi-role clinics that manage governance through template configuration ownership
Ocuco Acuitas fits when multi-role clinics need repeatable refraction workflows tied to device results with governance handled through deliberate configuration ownership. RevolutionEHR fits when EHR-led workflows must keep ophthalmic documentation inside the longitudinal chart.
Mid-size optometry workflows needing configurable exam steps with consistent capture
Moyae fits when a mid-size clinic needs configurable exam steps and structured capture reduces retyping when compiling exam results. MaximEyes fits when role-based exam template control must standardize refraction documentation with minimal in-visit workflow friction.
Common pitfalls when buying eye exam software for template-driven refraction workflows
Many buyers assume any exam template system will automatically bind instrument results to the right chart fields. The tools in this set show that device connectivity depends on supported instrument models and on the room-level configuration path.
Selecting based on exam template features while ignoring device connectivity readiness for the current instrument roster
Compulink Advantage ties device-result capture to supported instrument models, so connectivity can fail when instrument integration readiness is not aligned. Topcon Harmony delivers the strongest result when the clinic standardizes around compatible Topcon device models.
Assuming template customization will be quick for edge-case refraction workflows
EyeMD EMR reduces variation with device-linked encounter templates, but template customization can be time-consuming for edge-case workflows. Nextech also enforces refraction workflow documentation order, and deeper workflow customization for complex plans may require implementation support.
Underestimating template change-control and governance requirements in multi-clinician deployments
SiVIEW requires careful change control for template-driven configuration because advanced workflow deviations can require process workarounds. Ocuco Acuitas similarly depends on deliberate configuration ownership so repeatable refraction workflows remain consistent across roles.
Buying a tool that standardizes in-visit capture while leaving cross-visit governance needs unmet
MaximEyes standardizes subjective and objective refraction documentation with role-based template control, but its limited visibility into cross-visit clinical context can constrain advanced governance. RevolutionEHR addresses longitudinal chart placement with EHR-led exam templates inside the longitudinal chart.
Expecting open-ended automation beyond templating without validating the automation surface in implementation
Crystal Practice Management notes automation that relies on configuration rather than an open API for custom workflows, which can limit advanced automation beyond templates. Moyae and MaximEyes focus on configurable templating, so automation beyond templating requires admin effort and standardization.
How We Selected and Ranked These Tools
We evaluated EyeMD EMR, Nextech, SiVIEW, Compulink Advantage, Crystal Practice Management, Ocuco Acuitas, RevolutionEHR, MaximEyes, Topcon Harmony, and Moyae using a feature-weighted scoring model that allocates 40% to exam template workflow and device-linked documentation behavior, 30% to ease-of-use factors tied to template configuration friction, and 30% to value signals tied to how consistently encounter documentation reduces manual transcription. EyeMD EMR separated itself through encounter templates tied to device result capture, which directly reduces manual reentry by keeping measurements structured from room entry to charting.
The ranking also reflects how each tool’s standout mechanism maps to structured refraction documentation and how device connectivity depends on room-level configuration or supported instrument models. When template engines enforce documentation order but device connectivity depth needs planning, the scores reflect that dependency because it affects whether device results actually populate the encounter fields during the visit.
Frequently Asked Questions About eye exam software
How does device-linked documentation differ between EyeMD EMR and Compulink Advantage?
Which tools handle exam template ordering as part of the workflow, not just the final form layout?
How do SiVIEW and RevolutionEHR differ in where the standardized exam record is generated?
When do administrators typically need RBAC and audit controls, and which tools support that shape of workflow?
What integration path choices matter when exam data must flow into an EHR or downstream systems?
How do data migration and structured capture behave when moving from paper or an older device capture workflow?
What breaks if a clinic needs exam capture tightly bound to appointments and the rest of the chart workflow?
How do Topcon-centered device workflows differ between Topcon Harmony and general device integration approaches in other tools?
Which tool pair best matches clinics that want both refraction workflow structure and device-result reuse across the session?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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