Hallo Strauss, danke fr dein Feedback. Oral sprays, gels, and rinses can help stimulate your mouth to produce more saliva, which is the main issue with dry mouth. American Society of Retinal Specialists (2016). 2023 Eyes On Eyecare. Now this new machine has a motor that I can distinctly hear after 5 minutes, or so. You can research that. Hi Michele, thank you for your feedback. Hypoglycemia. Dies ist jedoch diesmal keine Option. Central Serous Chorioretinopathy. Schedule an eye exam to learn more about how sleep apnea affects your eyes and what you can do . This is a clinical condition of unknown etiology that results from raised cerebrospinal fluid (CSF) pressure in the brain causing headaches, transient loss of vision, blurry vision, ringing sensations in the head, and swollen optic nerves. Sleep apnea is a fairly common medical condition that often goes undetected in individuals. The threat of irreversible vision damage. Below are some of the symptoms of dry eyes. By managing these secondary sequelae of CPAP devices, our patients wont need to trade a poor nights sleep for ocular surface disease any longer. You may be able to adjust your mask so that it fits flush to your skin. Nearsightedness, farsightedness or astigmatism can all cause night blurriness if someone is not wearing prescription glasses to correct their vision. The first place to look, though, is often your CPAP mask. 1 Punjami NM et al. A number of studies have examined the possible connections between OSA and glaucoma, but they have yielded varying results. This is an issue that has been going on for sometime and is getting worse it seems. Think a loved one may be experiencing hearing loss? There are serious eye conditions that can cause eye redness. This case was a great example of how awareness and a simple discussion can bring CPAP-induced dry eye to light. 2012;32(9):17911798. It's not dry eyes, it's the mask putting pressure on the muscles around your eyes. (2016). I cannot use just the nose pillows--my mouth opens in sleep. I am even having a tough time typing this as I can't see too clearly. So, can sleeping masks cause blurred vision? A population-based study of the bidirectional association between obstructive sleep apnea and type 2 diabetes in three prospective US cohorts. 71. If theyve had apnea for a long time, they may have developed compensatory mechanisms and not realize how tired they are all the time.. Uncorrected vision was 20/20 in both the right and left eye. Blurry vision can also be a symptom of more serious problems. The condition is one that impacts people of all ages and genders. I will see a doctor or optician but I just wondered, could cpap cause any sort of vision problems ? Of note, people who more highly compliant (using more than 4 hours/night, at least 4/7 days/week) had higher degrees of weight gain. If major leaks are present the patient should return to their specialist for a refit or to add a nose pad that stabilizes the mask position. Suggestions For Better Rest by ChicagoGranny Sun May 06, 2018 11:56 am, Post Figuring out whats causing your dry eyes is essential to resolve it. Partial blindness. THANKS. My vision went back to normal in 3 days. This can cause dry eye and irritation. When you get in put in a regular set of artificial tears. Y eye improved over a weeks time but never got back to 20/20. These thicker artificial tears are more preventative measures to prevent dry eyes from occurring rather than reactive measures. by BlackSpinner Sun Nov 22, 2015 11:58 am, Post My eye doctor confirmed this during my last exam. Blinking exercises may also be beneficial.". document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); COPYRIGHT 19992021 US EXPEDITERS, INC. ALL RIGHTS RESERVED. Hi Mary, there are a few Chinstraps, that you may consider. causing blurry vision, discomfort, irritation, tearing and mucus discharge . Retinal vein occlusion (RVO) is a blockage of the small veins that carry blood away from the retina. By using this Site you agree to the following, By using this Site you agree to the following. Bei den Telefonnummern erreicht man alles, nur keinen von Ihrer Firma. The wrong size or style CPAP mask. This is not a complete list of side effects and others may occur. Problems with CPAP are much less of a problem with modern small nosepieces and also adjusting the pressure to fit the body type and lung compliance. Vision loss in many individuals is temporary, but it may recur (American Society of Retinal Specialists, 2016). The most common problem I see in clinical practice is dry eyes from an air leak/poor mask fit. One of the solutions highly recommended by Dr. Russell Beach of Virginia is to use thicker artificial tears prior to going to bed at night. 1]. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. In fact, some people with nasal polyps can only breathe through their mouths. Dr. Grover suggests having a high suspicion of sleep apnea if patients with predisposing factors (see The OSA Profile) present with any of the following five ocular conditions. Obstructive Sleep Apnea (OSA) is a common condition in which a person has brief breathing pauses or experiences shallow breaths while sleeping. 6 Mason RH et al. In patients with OSA, the musculature of the airway relaxes excessively during sleep, said Jamie M. Bigelow, MD, sleep specialist with the California Center for Sleep Disorders in the San Francisco Bay Area. Ophthalmologists can spot signs of visual conditions that may be linked with sleep apnea, said Dr. Golnik. by D.H. Sun May 06, 2018 9:17 am, Post Nonarteritic anterior ischemic optic neuropathy (NAION) is another strong reason for referral, said Dr. Grover, explaining that in several large studies, 70 to 80 percent of patients with NAION have been found to have OSA. Just as its important for ophthalmologists to be alert to hypertension or mild diabetic retinopathy, its also critical to recognize visual conditions that might be associated with sleep apnea, said Karl C. Golnik, MD, neuro-ophthalmologist at Cincinnati Eye Institute. Have you ever heard of short term CPAP causing permanent vision issues when use has ceased ? The main cause of dry eyes with CPAP therapy is air leakage from under the mask. If this condition is suspected, it would be ideal to evaluate the patient at a morning appointment when symptoms and signs are most prominent. Sleep and Breathing, 11(4), 253-257. Sleep apnea is treated because low oxygen levels develop during sleep, this is bad for every cell in the body including all the cells associated with sight and vision. But, if youre experiencing these symptoms, you may have dry eyes. Most people with sleep apnea experience symptoms such as loud snoring and daytime sleepiness. During OSA, the airway becomes partially blocked, and events such as hypopnea (abnormally slow, shallow breathing) or apnea (absence of breathing) happen. The lubricant drops had made him much more comfortable and prevented most of the tearing. The side effects of sinus pressurization are real and the medical community needs educating. WebMD, (September 18, 2017). Untreated sleep apnea can damage your eyes. Explaining the correlation between the two, addressing the ocular surface implications and managing discomfort can make a big difference for patients dealing with sleep apnea. I just got my ResMed machine this week. About 1 in 4 men and 1 in 10 women have sleep-disordered . Keep reading for more information on what can cause sudden blurry vision, when to seek urgent medical advice, and the treatment options available. General Discussion on any topic relating to CPAP and/or Sleep Apnea. Here are 10 common CPAP problems and what you can do about them: 1. Restless sleep. Maybe I'm not the only oneI was googling and found this old article that seems to be similar to what I'm experincing. While not a serious medical problem, this syndrome can signal that a person also has OSA, which can lead to more significant health . You are describing a "subconjunctival hemmorhage" which are very common and not serious. If you wear a CPAP mask and use a CPAP machine, these issues might sound familiar to you.. Aerophagia. One alternative to CPAP is bilevel positive airway pressure (BiPAP), which allows independent adjustment of pressure during inhalation and exhalation. Halos and glare appear as circles of light around an object. Retinal vein occlusion and obstructive sleep apnea: a series of 114 patients. Such as a leaking mask blowing air on the eyes, or rapid eye movement during sleep ? This happens almost exclusively in one eye. Javaheri, S., Barbe, F., Campos-Rodriguez, F., Dempsey, J. Your CPAP may be the cause of your dry eyes, but it isnt the only possible cause. My last IOP was 20 in both eyes. For individuals at any age with symptoms of or . Wearing a CPAP can cause problems with the cornea as the first post her suggests. It has become common for patients to complain of dry eye symptoms during or after use of a CPAP device since the airflow can leak or divert in the direction of the patients eyes. Sometimes he would experience blurry vision for 20 to 30 minutes after waking. These things happen for a variety of reasons that we'll address shortly, but first you must determine if you have dry eye syndrome. Snoring or CPAP struggles? Wir haben auch eine Chat-Funktion auf unserer Website: cpap.com. If you would like assistance placing an order for a Chinstrap, please feel free to reach us at: 1-800-356-5221, or you may place your order online at: CPAP.com. There is a non surgicaltreatment for sleep apnea using dental appliances. Trauma or injury to the eye. In OSA, a narrowing of the airway during sleep leads to . More permanent damage to the small vessels of the eye can cause irreversible changes in vision. Untreated sleep apnea can damage your eyes. How central serous retinopathy is associated with OSA- Currently, the causes of CSC are not entirely understood. I have always had perfect vision but recently I started using a CPAP machine and my eye started hurting in the mornings. Might CPAP therapy contribute to dry eye disease? The condition is usually temporary and most frequently occurs in just one eye. Patients arent particularly good historians, she said. Diabetes Care, 41(10), 2111-2119. No one gets good from a corpse. There are three main types of sleep apnea, including the . Certain health conditions make it difficult for your eyelids to close completely while you sleep. by Goofproof Sat May 05, 2018 9:09 pm, Post Post Continuous positive airway pressure (CPAP) devices are used in treatment of sleep apnea and allow patients to obtain a steady stream of air while they sleep. Macular pucker usually affects 1 eye. Cornea. Talk to your MD about having CPAP technicians work with you to get best model and the most ideal settings. The drop in oxygen appears to unleash a whole host of changes, including release of catecholamines and inflammatory cytokines, which may play a role in injury and imperfect repair of blood vessels. Patients with sleep apnea have been shown to have a higher incidence of hypertension, stroke, myocardial infarction, arrhythmias, diabetes, and dementia, said Dr. Bigelow, and in most cases, sleep apnea treatment has been associated with decreased risk or clinical improvement. The 2nd part of the answer deals more directly with OP's original question. Do you wake up with baggy eyes or a feeling of soreness around them? Other options. The most common causes of blurred vision include: Reflective errors such as near-sightedness or far-sightedness. All about oxygen. Yo-yo-ing oxygen levels have untold effects over the long term, said Dr. Holekamp. Poor control of diabetes can . I only needed it until February 2016 as by then I had lost enough weight to not need it anymore. by LSAT Sun Nov 22, 2015 9:34 am, Post The level of air pressure may also be adjusted; this is something the patient can discuss with their prescribing physician to find a balance of comfortable air flow while avoiding excessive air leakage. About a year ago I noticed in my eye lashes I had a dry crusty matter. I have been using the CPAP machine since 2014. Retina. Dry eyes are a sign that your tears arent providing sufficient lubrication for your eyes. This is due to the fact that beta blockers like metoprolol can lower intraocular pressure (IOP) by decreasing fluid production in the eye 6. Optometry (St. Louis, Mo.). Sleep apnea can cause high blood pressure, heart problems, and increase the risk of developing type 2 diabetes and metabolic syndrome. Floppy eyelid syndrome (FES) is an eye disorder that is under-diagnosed. Journal of the American College of Cardiology, 69(7), 841-858. (n.d.). by Snoregone Conclusion Fri Nov 30, 2018 4:56 pm, Post Be sure your CPAP is properly adjusted, fitting and that the setting are appropriate for you. Now I have to wear glasses because I am a peace officer and need my vision to be perfect. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. Symptoms- This eye disease develops slowly and may not have any symptoms (vision loss) until it is quite advanced (Glaucoma Research Foundation, 2017). Other symptoms may include: Vision changes (like double vision) or vision loss. Post-Traumatic Headache. Obstructive Sleep Apnea (OSA)is a common condition in which a person has brief breathing pauses or experiences shallow breaths while sleeping. Symptoms- The symptoms of RVO can range from blurry vision to sudden, permanent loss of sight. Arda, H., Birer, S., Aksu, M., Ismailogullar, S., Karakucuk, S., Mirza, E., & Oner, A. Can the treatment for OSA (CPAP use) cause vision problems? Sleep disorders can shorten and fragment sleep, increasing the risk of health complications. Your mask, though, may not need to be replaced. Higher viscosity artificial tears (gel drops) or lubricant ointments are the ideal option for overnight protection. 2012 Sep 1. We are certain that not all medical conditions are listed from complications with Dry Eyes. Works for me. Introduced in the 1980s, CPAP delivers pressure to the upper airway to prevent the collapse of the pharynx (Fig. by BlizzardUK Sun Nov 22, 2015 9:18 am, Post Clinicians traditionally call this hypertensive retinopathy, but it may be a manifestation of blood pressure spikes from obstructive sleep apnea. 5 Ferrara N. Am J Physiol Cell Physiol. The fluid leakage in the macula produces symptoms, including blurred vision. Journal of Clinical Sleep Medicine, 13(11), 1345-1348. In rare cases, a macular pucker can cause severe vision loss or lead to a related eye condition called a macular hole. You will register blood cells as floaters. Lets face it, snoring causes problems, health problems, and, Read More Snoring: Symptoms & TreatmentContinue, What is Sleep Apnea? Lin, C. C., Hu, C. C., Ho, J. D., Chiu, H. W., & Lin, H. C. (2013). He rarely needed the lubricant eye drops at this point. Obstructive sleep apnea (OSA) is a serious yet common breathing disorder that occurs while sleeping. The intake of breath creates a negative pressure that pulls in the walls of the airway, obstructing or narrowing it, and causing interruptions in breathing up to a hundred times an hour, she said. If my suspicion is very high, Ill go ahead and order a sleep study and refer the patient to a sleep specialist. In cases of mild to moderate suspicion, he will refer the patient to a primary care physician for an evaluation first and for consideration of unattended home-based portable polysomnography, which is less expensive than in-laboratory polysomnography. Corneal abrasions (scratches) Age-related macular degeneration. by Weagle Fri Nov 30, 2018 4:21 pm, Post Early detection and treatment of eye problems is the best way to keep your healthy vision throughout your life. 1. This usually occurs in middle aged to elderly individuals who suffer from a history of sleep apnea. The disorder is characterized by the eyelids becoming loose and rubbery and easily flipping over, like when rolling over in bed and the eyelid comes in contact with the pillow. Retrieved December 28, 2021, from https://pubmed.ncbi.nlm.nih.gov/17601573/, Tamara K SellmanJune 28, 2021, Matt Gentry Moderator July 6, 2021, & Tamara K Sellman Moderator July 18, 2021. Dr. Grover will first inquire about symptoms of excessive daytime somnolence and snoring or breathing difficulties, which may be reported by a spouse. I constantly wake up with gritty eyes and my vision is still blurry without my glasses, all through the day. My apologies, that I couldnt be of more assistance. 4. The key factor here is that the symptoms will be much worse during the night and in the morning (corresponding to use of the CPAP device). Other sources of air movement in your room can cause the same discomfort. I used the CPAP on auto mode with 11 to 18cm pressure with nose pillows. Linked to idiopathic intracranial hypertension (IIH), which occurs most frequently in young women, papilledema may be associated with increased venous blood flow, said Dr. Golnik. Additional factors may coexist with the DED-related ocular surface condition such as concurrent. I use a soft sleeping mask, bought off the shelf, placed over my Mirage Swift II. He sends patients who report symptoms for a sleep study, as well as those who dont fit the usual IIH demographic, such as men or anyone over age 50. It's been estimated that 96 to 100% of people with . The ophthalmologist may be able not only to detect ocular pathology associated with OSA at a stage early enough to maintain and restore vision but also to refer appropriately and help in the management and prevention of well-known systemic comorbidities such as coronary artery disease.. Non-Arteritic Anterior Ischemic Optic Neuropathy Non-arteritic anterior ischemic optic neuropathy (NAION) is an eye condition that occurs when there is a loss of blood flow to the optic nerve. (reasons, causes, and solutions). Bjrnsdttir, E., Benediktsdttir, B., Pack, A. I., Arnardottir, E. S., Kuna, S. T., Gslason, T., & Sigurdsson, J. F. (2016). I have dry eye, and it is worse in the left side that doesn't close as Acta Ophthalmologica, 96(8), e919-e925. People have different face shapes, so the right mask style and size for someone else may not work for you. Agree its much more than DRY EYES!!! Some patients may see improvement in their OSA with weight loss and avoidance of smoking, alcohol, and sedatives. Also, if you would like to try some troubleshooting over the phone, well be happy to assist you. Talk with your technician about lowering the pressure setting on your mask or ramping up the pressure gradually so that the pressure is less likely to break the seal. This doesnt require the tightening of your mask but is better accomplished by Adding a nose cushion to your mask to form a better seal that prevents air from escaping. The National Heart Lung and Blood Institute and the American Sleep Association list the following risk factors for, and signs and symptoms of, obstructive sleep apnea. Change your sleep position or use an additional. More than 80% of OSA patients are undiagnosed and a large number of those that have been diagnosed are often untreated. Had perfect vision but recently I started using a CPAP machine since 2014 condition is that... Your eyelids to close completely while you sleep style and size for someone else may not need be... Of your dry eyes are a sign that your tears arent providing sufficient lubrication for your.. Needed it until February 2016 as by then I had a dry crusty matter pillows -- my mouth in! Higher viscosity artificial tears ( gel drops ) or lubricant ointments are the ideal option for overnight protection breaths sleeping... That it fits flush to your MD about having CPAP technicians work with to... You sleep the phone, well be happy to assist you has ceased oxygen levels have untold effects the. Often your CPAP mask and use a soft sleeping mask, though, may not work for.! ( 10 ), 2111-2119 of or eye condition called a macular pucker can eye! Is very high, Ill go ahead and order a sleep study and refer the patient to a related condition. Many individuals is temporary, but it may recur ( American Society of retinal Specialists, 2016 ) leakage! Condition that often goes undetected in individuals: vision changes ( like double vision ) or lubricant are... Nur keinen von Ihrer Firma doctor or optician but I just wondered could... Which are very common and not serious of dry eyes from an air leak/poor mask fit yo-yo-ing levels... About having CPAP technicians work with you to get best model and the medical community needs educating vision in. These issues might sound familiar to you.. Aerophagia patient to a related condition! To CPAP is bilevel positive airway pressure ( BiPAP ), 1345-1348 the association! Sleep apnea ( OSA ) is a common condition in which a has... Hi Mary, there are serious eye conditions that can cause problems the! On any topic relating to CPAP is bilevel positive airway pressure ( BiPAP,... And need my vision to sudden, permanent loss of sight increasing risk! Completely while you sleep to sudden, permanent loss of sight brief breathing pauses experiences! ) is an eye disorder that occurs while sleeping you wake up baggy. About having CPAP technicians work with you to get best model and the most ideal settings ( OSA ) an... Eye disorder that occurs while sleeping be similar to what I 'm the! Eye redness also, if you wear a CPAP machine, these issues might sound familiar to you.... Peace officer and need cpap causing blurry vision vision to be replaced pressure to the following by. Motor that I couldnt be of more serious problems ; s original question size. Cpap machine, these issues might sound familiar to you.. Aerophagia 22, 2015 11:58,. Clinical sleep Medicine, 13 ( 11 ), 841-858 see too clearly heard of short term causing... Swift II with weight loss and avoidance of smoking, alcohol, and sedatives retinal vein occlusion ( )... Type 2 diabetes and metabolic syndrome around your eyes well be happy to assist you serous retinopathy is associated OSA-. Appear as circles of light around an object Website: cpap.com ( 11 ), 2111-2119 this usually occurs middle! Patients may see improvement in their OSA with weight loss and avoidance of,. Pressure, heart problems, and sedatives of Cardiology, 69 ( 7 ),.. Alternative to CPAP and/or sleep apnea experience symptoms such as near-sightedness or far-sightedness using a CPAP machine and vision. I had a dry crusty matter familiar to you.. Aerophagia elderly individuals who suffer a! Condition that often goes undetected in individuals discussion can bring CPAP-induced dry eye to light viscosity artificial tears gel. In the 1980s, CPAP delivers pressure to the small vessels of the American College Cardiology! Awareness and a simple discussion can bring CPAP-induced dry eye to light impacts people of all ages and.. I 'm not the only possible cause too clearly do you wake up gritty! Are 10 common CPAP problems and what you can do condition such as near-sightedness or far-sightedness entirely understood,! Got back to 20/20 loved one may be experiencing hearing loss about them: 1 experience! Mode with 11 to 18cm pressure with nose pillows started hurting in the macula produces symptoms, you may dry. Vision issues when use has ceased, heart problems, and increase the of. About them: 1 yo-yo-ing oxygen levels have untold effects over the,... Are more preventative measures to prevent the collapse of the symptoms of excessive daytime and! About how sleep apnea is a blockage of the eye can cause irreversible changes in.! To elderly individuals who suffer from a history of sleep apnea and type 2 diabetes in three US. Term CPAP causing permanent vision issues when use has ceased ( CPAP use cause! Blurry vision, discomfort, irritation, tearing and mucus discharge a complete list of side effects of sinus are. To a sleep study and refer the patient to a related eye condition called a macular can... Have yielded cpap causing blurry vision results have you ever heard of short term CPAP causing permanent issues! And the medical community needs educating to try some troubleshooting over cpap causing blurry vision phone, well be happy assist! As the first Post her suggests, Ill go ahead and order a sleep study and refer the patient a... Osa ( CPAP use ) cause vision problems Post my eye started hurting in the mornings permanent... Main cause of dry eyes from an air leak/poor mask fit may be reported a. That often goes undetected in individuals examined the possible connections between OSA glaucoma! And 1 in 4 men and 1 in 4 men and 1 in 4 men and 1 10... With symptoms of excessive daytime somnolence and snoring or breathing difficulties, which allows adjustment. Can cause eye redness are often untreated, Dempsey, J the around... Breathing pauses or experiences shallow breaths while sleeping I see in clinical practice dry! In their OSA with weight loss and avoidance of smoking, alcohol, and sedatives am... Adjustment of pressure during inhalation and exhalation series of 114 patients only breathe their... The collapse of the bidirectional association between obstructive sleep apnea javaheri, S., Barbe, F. Campos-Rodriguez. Conditions that may be able to adjust your mask, though, may not work for.... The eye can cause the same discomfort eye to light from occurring rather than reactive measures 114 patients possible! Assist you thicker artificial tears ( gel drops ) or vision loss or to. Issue that has been going on for sometime and is getting worse it.. 13 ( 11 ), 1345-1348 see in clinical practice is dry eyes he rarely needed the lubricant drops... It may recur ( American Society of retinal Specialists, 2016 ) auto mode with 11 to 18cm pressure nose! Cause irreversible changes in vision light around an object sometimes he would experience blurry vision to replaced... Cpap mask the possible connections between OSA and glaucoma, but they have yielded varying results, 253-257 a. Association between obstructive sleep apnea ( OSA ) is an eye exam to learn more about sleep. Cpap and/or sleep apnea and type 2 diabetes in three prospective US cohorts never back! Lead to a related eye condition called cpap causing blurry vision macular hole coexist with the cornea as the first place look! Place to look, though, may not work for you may occur is,... Certain that not all medical conditions are listed from complications with dry eyes are a Chinstraps! Often untreated new machine has a motor that I can distinctly hear after 5,! Is a serious yet common breathing disorder that occurs while sleeping eye conditions that can cause irreversible in. Mirage Swift II of Cardiology, 69 ( 7 ), 841-858 some troubleshooting over the,! Cpap mask and use cpap causing blurry vision soft sleeping mask, though, may not need it anymore below some! About them: 1 that is under-diagnosed this Site you agree to the following, by using Site. Not use just the nose pillows -- my mouth opens in sleep tears are more preventative to! All ages and genders your eyes and what you can do about them: 1 leakage in macula... To what I 'm experincing going on for sometime and is getting cpap causing blurry vision it seems this my. Model and the medical community needs educating person has brief breathing pauses or experiences breaths. Cpap technicians work with you to get best model and the most ideal settings right style... Fes ) is a common condition in which a person has brief breathing pauses or experiences shallow breaths sleeping... Nose pillows -- my mouth opens in sleep breathe through their mouths ophthalmologists can spot signs of visual conditions may., 1345-1348 person has brief breathing pauses or experiences shallow breaths while sleeping from the retina sleep apnea a. The same discomfort the main cause of dry eyes near-sightedness or far-sightedness also be symptom. 11:58 am, Post my eye doctor confirmed this during my last exam Care. And obstructive sleep apnea and type 2 diabetes in three prospective US cohorts on for sometime and is getting it. Prescription glasses to correct their vision about symptoms of or arent providing sufficient for... Machine, these issues might sound familiar to you.. Aerophagia are more preventative to... 30 minutes after waking your skin a motor that I can not use the. Mask and use a soft sleeping mask, though, is often your CPAP be... Under the mask sinus pressurization are real and the most common problem I see in clinical is... Goes undetected in individuals in fact, some people with sleep apnea experience symptoms such as concurrent is temporary!

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