Knowledge (XXG)

Primary juvenile glaucoma

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The preferred treatment of congenital glaucoma is surgical, not medical. The initial procedures of choice are goniotomy or trabeculotomy if the cornea is clear, and trabeculectomy ab externo if the cornea is hazy. The success rates are similar for both procedures in patients with clear corneas.
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becomes clinically apparent after three years of age and before age 40, according to certain authors. Infantile glaucoma presents between one month and three years, while true congenital glaucoma causes signs of increased intraocular pressure within the first month of life. True congenital
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In the United States, the incidence of primary congenital glaucoma is about one in 10,000 live births. Worldwide, the incidence ranges from a low of 1:22,000 in Northern Ireland to a high of 1:2,500 in Saudi Arabia and 1:1,250 in Romania. In about two-thirds of cases, it is bilateral. The
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distribution between males and females varies with geography. In North America and Europe, it is more common in boys, whereas in Japan it is more common in girls.
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is necessary in some intractable cases but should be avoided whenever possible because of its potential adverse effects on the lens and the retina.
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Juvenile open-angle glaucoma: 22-year-old Caucasian female referred in 1990 for evaluation of elevated intraocular pressure (IOP)
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protein dysfunction. Myocilin gene mutations are identified in approximately 10% of patients affected by juvenile glaucoma.
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Turalba AV, Chen TC (2008). "Clinical and Genetic Characteristics of Primary Juvenile-Onset Open-Angle Glaucoma (JOAG)".
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Trabeculectomy and shunt procedures should be reserved for those cases in which goniotomy or trabeculotomy has failed.
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Most cases are sporadic (90%). However, in the remaining 10% there appears to be a strong familial component.
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Primary congenital glaucomas most commonly occur sporadically. Juvenile open-angle glaucoma is typically an
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development that obstruct aqueous outflow in the absence of systemic anomalies or other ocular malformation.
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and is diagnosed between three years of age and early adulthood. It is caused due to abnormalities in the
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glaucoma, infantile glaucoma and juvenile glaucoma together constitute the primary congenital glaucomas.
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Morisette J, Côté G, Anctil JL, Plante M, Amyot M, Héon E, Trope GE, Weissenbach J, Raymond V (1995).
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that results from hereditary dystrophies is usually symmetric. Corneal enlargement may result from
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Two of the more commonly encountered disorders that may be associated with congenital glaucoma are
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The typical infant who has congenital glaucoma usually is initially referred to an
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Chardoub, Abd Alkader Jafer; Blair, Kyle (26 December 2022). "Juvenile Glaucoma".
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Kaur, Kirandeep; Gurnani, Bharat (11 June 2023). "Primary Congenital Glaucoma".
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Wiggs, JL; Damji, KF; Haines, JL; Pericak-Vance, MA; Allingham, RR (Jan 1996).
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and photophobia may be missed until the corneal edema becomes apparent.
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because of apparent corneal edema. The commonly described triad of
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GeneReview/NCBI/NIH/UW entry on Primary Congenital Glaucoma
269:(22nd ed.). New Delhi, India: Elsevier. 15 July 2015. 549:
Diagnosis and Treatment of Primary Congenital Glaucoma
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A primary cause is 2321: 2242: 2217: 2203: 2195: 2158: 1922: 1711: 1702: 1580: 1567: 1554: 1161: 979: 970: 957: 708: 699: 686: 664: 650: 642: 38: 29: 394: 350: 418: 416: 414: 257: 51:, developed due to congenital glaucoma. 528:. American Academy of Ophthalmology. 423:Yanoff, Myron; Duker, Jay S. (2009). 7: 2303:Congenital lacrimal duct obstruction 1532:Familial exudative vitreoretinopathy 574:. EyeRounds.org. September 17, 2008. 1655:non-arteritic anterior (NAION) 1492:Leber's hereditary optic neuropathy 570:Lively GD, Alward, WL, Fingert JH. 2228:malformations and deformations of 1527:Persistent tunica vasculosa lentis 383:American Journal of Human Genetics 339:American Journal of Human Genetics 25: 1255:Polypoidal choroidal vasculopathy 1360:Central retinal artery occlusion 427:(3rd ed.). Mosby Elsevier. 222:Bilateral in up to 80% of cases. 1365:Branch retinal artery occlusion 1094:Terrien's marginal degeneration 160:The diagnosis is clinical. The 1395:Bietti's crystalline dystrophy 1355:Central retinal vein occlusion 1084:Pellucid marginal degeneration 1: 1448:Vitelliform macular dystrophy 1339:Posterior vitreous detachment 1205:Persistent pupillary membrane 2517:Congenital disorders of eyes 1935:Leber's congenital amaurosis 1846:Internuclear ophthalmoplegia 1537:Vogt-Koyanagi-Harada disease 1522:Persistent fetal vasculature 1453:Leber's congenital amaurosis 267:Parsons' diseases of the eye 734:Meibomian gland dysfunction 82:primary congenital glaucoma 2548: 1458:Birdshot chorioretinopathy 1432:Central serous retinopathy 1250:Focal choroidal excavation 1123:Corneal neovascularization 940:Subconjunctival hemorrhage 2170: 2157: 1925: 1841:Convergence insufficiency 1714: 1583: 1566: 1553: 1482:Primary juvenile glaucoma 1327:Cytomegalovirus retinitis 969: 956: 742: 698: 685: 676:Diseases of the human eye 495:10.1080/08820530701745199 483:Seminars in Ophthalmology 246:Weill–Marchesani syndrome 78:Primary juvenile glaucoma 46: 37: 33:Primary juvenile glaucoma 2405:Axenfeld–Rieger syndrome 1351:Ocular ischemic syndrome 71:Goniotomy, trabeculotomy 2481:Coloboma of optic nerve 1851:One and a half syndrome 1605:Foster Kennedy syndrome 637:Glaucoma entry on PGCFA 47:A child with right eye 2285:Marcus Gunn phenomenon 2090:Argyll Robertson pupil 890:Periorbital cellulitis 176:Differential diagnosis 90:anterior chamber angle 2063:Scintillating scotoma 1729:Kearns–Sayre syndrome 1672:Toxic and nutritional 1645:posterior (PION) 1128:Kayser–Fleischer ring 623:Glaucoma for Children 199:Cyclophotocoagulation 134:Sturge–Weber syndrome 124:Systemic associations 116:(excessive tearing), 84:that develops due to 1836:Conjugate gaze palsy 1707:Paralytic strabismus 1640:anterior (AION) 1422:Retinitis pigmentosa 1417:Macular degeneration 1190:Intermediate uveitis 1106:Keratoconjunctivitis 241:Peters-plus syndrome 162:intraocular pressure 2141:Childhood blindness 2120:Parinaud's syndrome 1690:Extraocular muscles 1478:Ocular hypertension 1442:Epiretinal membrane 1427:Retinal haemorrhage 1282:Congenital cataract 214:Congenital glaucoma 86:ocular hypertension 18:Congenital glaucoma 2295:Lacrimal apparatus 1667:Leber's hereditary 1334:Retinal detachment 1287:Childhood cataract 1099:Post-LASIK ectasia 880:Orbital cellulitis 829:Lacrimal apparatus 554:2014-10-19 at the 146:autosomal dominant 2504: 2503: 2500: 2499: 2311: 2310: 2192: 2191: 2188: 2187: 2153: 2152: 2149: 2148: 2095:Marcus Gunn pupil 2071: 2070: 1992:Visual impairment 1859: 1858: 1765: 1764: 1752:Fourth-nerve (IV) 1680: 1679: 1617:Optic disc drusen 1549: 1548: 1545: 1544: 1263: 1262: 1151: 1150: 1057:Corneal dystrophy 952: 951: 948: 947: 823: 822: 609:Juvenile Glaucoma 276:978-81-312-3818-9 265:"The glaucomas". 236:Axenfeld syndrome 75: 74: 27:Medical condition 16:(Redirected from 2539: 2397:Anterior segment 2322: 2275:Blepharophimosis 2243: 2219: 2212: 2205: 2196: 2159: 1923: 1914:Vision disorders 1873:Refractive error 1815:Brown's syndrome 1771:Other strabismus 1757:Sixth-nerve (VI) 1747:Oculomotor (III) 1719:Ophthalmoparesis 1712: 1703: 1694:Binocular vision 1627:Optic neuropathy 1593:optic papillitis 1581: 1568: 1555: 1444:(Macular pucker) 1162: 1143:Band keratopathy 980: 971: 958: 885:Orbital lymphoma 772:Blepharophimosis 762:Blepharochalasis 709: 700: 687: 666: 659: 652: 643: 558: 546: 540: 539: 521: 515: 514: 478: 472: 471: 469: 467: 445: 439: 438: 420: 409: 408: 398: 374: 365: 364: 354: 345:(6): 1431–1442. 330: 321: 320: 318: 316: 294: 281: 280: 262: 80:is a subtype of 42: 30: 21: 2547: 2546: 2542: 2541: 2540: 2538: 2537: 2536: 2507: 2506: 2505: 2496: 2460: 2442: 2409: 2391: 2373: 2350: 2340:Cryptophthalmos 2307: 2289: 2232: 2223: 2193: 2184: 2166: 2145: 2124: 2067: 2036: 1996: 1950:Color blindness 1916: 1908: 1855: 1829:Other binocular 1824: 1761: 1733: 1696: 1692: 1688: 1676: 1621: 1574: 1562: 1541: 1497:Ocular hypotony 1462: 1322:Chorioretinitis 1303: 1259: 1243:Chorioretinitis 1219: 1200:Rubeosis iridis 1178: 1147: 1118:Corneal opacity 1074:Corneal ectasia 1001: 965: 944: 930:Pseudopterygium 894: 856: 819: 786: 782:Ankyloblepharon 738: 694: 681: 680: 670: 581: 567: 565:Further reading 562: 561: 556:Wayback Machine 547: 543: 536: 523: 522: 518: 480: 479: 475: 465: 463: 447: 446: 442: 435: 422: 421: 412: 376: 375: 368: 332: 331: 324: 314: 312: 296: 295: 284: 277: 264: 263: 259: 254: 232: 207: 194: 182:Corneal opacity 178: 158: 142: 126: 110:ophthalmologist 106: 28: 23: 22: 15: 12: 11: 5: 2545: 2543: 2535: 2534: 2529: 2524: 2519: 2509: 2508: 2502: 2501: 2498: 2497: 2495: 2494: 2492:Norrie disease 2489: 2487:Hydrophthalmos 2484: 2474: 2468: 2466: 2462: 2461: 2459: 2458: 2452: 2450: 2444: 2443: 2441: 2440: 2438:Cornea plana 2 2435: 2433:Cornea plana 1 2430: 2425: 2419: 2417: 2411: 2410: 2408: 2407: 2401: 2399: 2393: 2392: 2390: 2389: 2383: 2381: 2375: 2374: 2372: 2371: 2366: 2364:Ectopia lentis 2360: 2358: 2352: 2351: 2349: 2348: 2346:Microphthalmia 2343: 2336:Cystic eyeball 2328: 2326: 2319: 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1120: 1115: 1114: 1113: 1103: 1102: 1101: 1096: 1091: 1086: 1081: 1071: 1070: 1069: 1064: 1054: 1049: 1044: 1043: 1042: 1040:Photokeratitis 1037: 1032: 1027: 1022: 1011: 1009: 1003: 1002: 1000: 999: 994: 988: 986: 977: 967: 966: 961: 954: 953: 950: 949: 946: 945: 943: 942: 937: 932: 927: 922: 921: 920: 913:Conjunctivitis 910: 904: 902: 896: 895: 893: 892: 887: 882: 877: 872: 866: 864: 858: 857: 855: 854: 849: 847:Dacryocystitis 844: 839: 837:Dacryoadenitis 833: 831: 825: 824: 821: 820: 818: 817: 812: 807: 802: 796: 794: 788: 787: 785: 784: 779: 774: 769: 764: 759: 754: 749: 743: 740: 739: 737: 736: 731: 726: 721: 715: 713: 706: 696: 695: 690: 683: 682: 679: 678: 672: 671: 669: 668: 661: 654: 646: 640: 639: 634: 629: 626: 620: 605: 596: 587: 580: 579:External links 577: 576: 575: 566: 563: 560: 559: 541: 535:978-1615251179 534: 516: 473: 440: 433: 410: 366: 322: 282: 275: 256: 255: 253: 250: 249: 248: 243: 238: 231: 228: 227: 226: 223: 220: 216: 215: 206: 203: 193: 190: 177: 174: 157: 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1636: 1633: 1632: 1630: 1628: 1624: 1618: 1615: 1613: 1612:Optic atrophy 1610: 1606: 1603: 1602: 1601: 1598: 1594: 1591: 1590: 1589: 1586: 1585: 1582: 1579: 1577: 1573: 1569: 1565: 1561: 1556: 1552: 1538: 1535: 1533: 1530: 1528: 1525: 1523: 1520: 1518: 1515: 1513: 1512:Keratomycosis 1510: 1508: 1507:Globe rupture 1505: 1503: 1500: 1498: 1495: 1493: 1490: 1488: 1485: 1483: 1479: 1475: 1472: 1471: 1469: 1465: 1459: 1456: 1454: 1451: 1449: 1446: 1443: 1440: 1438: 1437:Macular edema 1435: 1433: 1430: 1428: 1425: 1423: 1420: 1418: 1415: 1411: 1408: 1406: 1403: 1401: 1398: 1396: 1393: 1391: 1388: 1386: 1383: 1381: 1378: 1376: 1373: 1372: 1371: 1368: 1366: 1363: 1361: 1358: 1356: 1352: 1349: 1347: 1346:Retinoschisis 1344: 1340: 1337: 1336: 1335: 1332: 1328: 1325: 1323: 1320: 1319: 1318: 1315: 1314: 1312: 1310: 1306: 1300: 1297: 1295: 1292: 1288: 1285: 1283: 1280: 1279: 1278: 1275: 1274: 1272: 1270: 1266: 1256: 1253: 1251: 1248: 1244: 1241: 1240: 1239: 1236: 1234: 1233:Choroideremia 1231: 1230: 1228: 1226: 1222: 1216: 1213: 1211: 1210:Iridodialysis 1208: 1206: 1203: 1201: 1198: 1196: 1193: 1191: 1188: 1186: 1183: 1182: 1180: 1175: 1172: 1170: 1167: 1166: 1163: 1160: 1158: 1154: 1144: 1141: 1139: 1138:Arcus senilis 1136: 1134: 1133:Haab's striae 1131: 1129: 1126: 1124: 1121: 1119: 1116: 1112: 1109: 1108: 1107: 1104: 1100: 1097: 1095: 1092: 1090: 1087: 1085: 1082: 1080: 1077: 1076: 1075: 1072: 1068: 1065: 1063: 1060: 1059: 1058: 1055: 1053: 1050: 1048: 1047:Corneal ulcer 1045: 1041: 1038: 1036: 1033: 1031: 1028: 1026: 1025:acanthamoebic 1023: 1021: 1018: 1017: 1016: 1013: 1012: 1010: 1008: 1004: 998: 995: 993: 990: 989: 987: 985: 981: 978: 976: 975:Fibrous tunic 972: 968: 964: 959: 955: 941: 938: 936: 933: 931: 928: 926: 923: 919: 916: 915: 914: 911: 909: 906: 905: 903: 901: 897: 891: 888: 886: 883: 881: 878: 876: 873: 871: 868: 867: 865: 863: 859: 853: 852:Xerophthalmia 850: 848: 845: 843: 840: 838: 835: 834: 832: 830: 826: 816: 813: 811: 808: 806: 803: 801: 798: 797: 795: 793: 789: 783: 780: 778: 775: 773: 770: 768: 765: 763: 760: 758: 757:Lagophthalmos 755: 753: 750: 748: 745: 744: 741: 735: 732: 730: 727: 725: 722: 720: 717: 716: 714: 710: 707: 705: 701: 697: 693: 688: 684: 677: 674: 673: 667: 662: 660: 655: 653: 648: 647: 644: 638: 635: 633: 630: 627: 624: 621: 619: 615: 611: 610: 606: 604: 600: 597: 595: 591: 588: 586: 583: 582: 578: 573: 569: 568: 564: 557: 553: 550: 545: 542: 537: 531: 527: 520: 517: 512: 508: 504: 500: 496: 492: 488: 484: 477: 474: 461: 457: 453: 452: 444: 441: 436: 434:9780323043328 430: 426: 425:Ophthalmology 419: 417: 415: 411: 406: 402: 397: 392: 388: 384: 380: 373: 371: 367: 362: 358: 353: 348: 344: 340: 336: 329: 327: 323: 310: 306: 302: 301: 293: 291: 289: 287: 283: 278: 272: 268: 261: 258: 251: 247: 244: 242: 239: 237: 234: 233: 229: 224: 221: 218: 217: 213: 212: 211: 204: 202: 200: 191: 189: 187: 183: 175: 173: 171: 170:Haab's striae 167: 163: 155: 153: 151: 147: 139: 137: 135: 131: 123: 121: 119: 118:blepharospasm 115: 111: 103: 101: 98: 93: 91: 87: 83: 79: 70: 66: 63: 62:Ophthalmology 60: 58: 54: 50: 45: 41: 36: 31: 19: 2486: 2428:Megalocornea 2423:Keratoglobus 2332:Anophthalmia 1990: / 1986: / 1965:Monochromacy 1897: / 1793:Heterophoria 1781: / 1481: 1480: / 1476: / 1380:hypertensive 1353: / 1174:Ciliary body 1089:Keratoglobus 997:Episcleritis 875:Enophthalmos 870:Exophthalmos 815:Trichomegaly 810:Distichiasis 712:Inflammation 607: 544: 525: 519: 489:(1): 19–25. 486: 482: 476: 464:. Retrieved 450: 443: 424: 389:(1): 243–4. 386: 382: 342: 338: 313:. Retrieved 299: 266: 260: 208: 205:Epidemiology 195: 186:megalocornea 179: 159: 143: 127: 107: 104:Presentation 94: 77: 76: 2472:Buphthalmos 2115:Cycloplegia 2058:Photophobia 2053:Hemeralopia 2010:Hemianopsia 1988:Vision loss 1899:Aniseikonia 1890:Astigmatism 1810:Cyclotropia 1788:Hypertropia 1600:Papilledema 1572:Optic nerve 1405:Sickle cell 1385:Purtscher's 1370:Retinopathy 1238:Choroiditis 1079:Keratoconus 900:Conjunctiva 777:Xanthelasma 729:Blepharitis 462:. NBK562263 311:. NBK574553 166:Buphthalmos 49:buphthalmos 2532:Pediatrics 2511:Categories 2325:Entire eye 2280:Ablepharon 2226:Congenital 2164:Infections 2085:Anisocoria 2048:Asthenopia 2041:subjective 2025:homonymous 2020:bitemporal 1972:Nyctalopia 1960:Dichromacy 1904:Presbyopia 1865:Refraction 1686:Strabismus 1576:Optic disc 935:Pinguecula 800:Trichiasis 451:StatPearls 300:StatPearls 252:References 2527:Blindness 2270:Distichia 2265:Entropion 2260:Ectropion 2136:Nystagmus 2110:Mydriasis 1984:Blindness 1930:Amblyopia 1918:Blindness 1878:Hyperopia 1803:Exophoria 1798:Esophoria 1783:Exotropia 1779:Esotropia 1317:Retinitis 1015:Keratitis 992:Scleritis 925:Pterygium 805:Madarosis 752:Ectropion 747:Entropion 724:Chalazion 625:on AAPOS. 618:eMedicine 614:eMedicine 466:1 October 315:1 October 192:Treatment 156:Diagnosis 95:Juvenile 68:Treatment 57:Specialty 2522:Glaucoma 2477:Coloboma 2387:Aniridia 2175:Trachoma 1940:Diplopia 1635:Ischemic 1560:Pathways 1474:Glaucoma 1375:diabetic 1277:Cataract 1215:Synechia 1067:Meesmann 1035:Exposure 1020:herpetic 918:allergic 908:Chemosis 842:Epiphora 552:Archived 526:Glaucoma 511:12527263 503:18214788 460:32965934 309:34662067 230:See also 150:myocilin 140:Genetics 130:Aniridia 114:epiphora 97:glaucoma 2369:Aphakia 2015:binasal 2002:Anopsia 1945:Scotoma 1739:palsies 1502:Red eye 1487:Floater 1294:Aphakia 1225:Choroid 1195:Hyphema 1185:Uveitis 792:Eyelash 405:8554064 396:1914955 361:7762566 352:1801110 2448:Retina 2415:Cornea 2255:Ptosis 2247:Eyelid 2238:Adnexa 2105:Miosis 1883:Myopia 1662:Kjer's 1410:photic 1309:Retina 1062:Fuchs' 1030:fungal 1007:Cornea 984:Sclera 767:Ptosis 704:Eyelid 692:Adnexa 603:CYP1B1 599:137750 590:137750 585:231300 532:  509:  501:  458:  431:  403:  393:  359:  349:  307:  273:  2465:Other 2317:Globe 2129:Other 2077:Pupil 1467:Other 1111:sicca 963:Globe 862:Orbit 507:S2CID 2379:Iris 2356:Lens 2230:eyes 1269:Lens 1169:Iris 719:Stye 594:MYOC 530:ISBN 499:PMID 468:2023 456:PMID 429:ISBN 401:PMID 357:PMID 317:2023 305:PMID 271:ISBN 168:and 132:and 616:on 612:at 491:doi 391:PMC 347:PMC 2513:: 2338:, 601:; 592:; 505:. 497:. 487:23 485:. 413:^ 399:. 387:58 385:. 381:. 369:^ 355:. 343:56 341:. 337:. 325:^ 285:^ 136:. 2483:) 2479:( 2342:) 2334:( 2218:e 2211:t 2204:v 665:e 658:t 651:v 538:. 513:. 493:: 437:. 407:. 363:. 279:. 20:)

Index

Congenital glaucoma

buphthalmos
Specialty
Ophthalmology
primary congenital glaucoma
ocular hypertension
anterior chamber angle
glaucoma
ophthalmologist
epiphora
blepharospasm
Aniridia
Sturge–Weber syndrome
autosomal dominant
myocilin
intraocular pressure
Buphthalmos
Haab's striae
Corneal opacity
megalocornea
Cyclophotocoagulation
Axenfeld syndrome
Peters-plus syndrome
Weill–Marchesani syndrome
ISBN
978-81-312-3818-9


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