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Empress Eye Clinic is directly accessible from Yonge subway
and the Yonge Street exit for easy access from HWY 401.

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Empress Eye Clinic is directly accessible from Yonge subway
and the Yonge Street exit for easy access from HWY 401.

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WELCOME TO EMPRESS EYE CLINIC

Eye Exams, Eyewear, Myopia Control, Dry Eye Treatment , Scleral, Ortho K, and other Specialty Contact Lenses and more in North York, Toronto

Utilizing Advanced Technologies, we Diagnose, Treat and Prevent Eye Disease. Our North York, Toronto optometrists, eye doctors provide a wide range of eye care services: Advanced total eye health and vision examination of adults and children, fitting of various regular and specialty contact lenses, dispensing of regular and specialty eyeglasses, medical treatment of eye diseases, glaucoma, macular degeneration, keratoconus, emergency eye care, co-management of cataract, LASIK, PRK and corneal cross-linking, advanced dry eye treatment, myopia control, orthokeratology, emergency eye care, our staff can help direct bill most insurance plans.

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EYE DOCTORS NEAR YOU

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Dr. Javad Heshmati, Optometrist

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Dr. Roger Habib, Optometrist

Do You Dream of Waking Up to Perfect Vision? With Ortho-K Overnight Sight Correction, (also known as Corneal Reshaping Therapy or Vision Shaping Therapy) you can see naturally and clearly without glasses or contacts all day long. Nearsightedness, or the technical name Myopia is more and more prevalent in this digital day and age. Learn more!

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What is Myopia Control?

If your child has myopia (nearsightedness) and their vision prescription continually increases at each eye exam, Myopia Control may be a good option. Myopia Control can reduce the risk of myopic-related eye disease with contact lenses, drops, or different kinds of lenses.

More About Myopia Control
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What causes myopia?

Myopia is caused by a combination of environmental factors and heredity. Studies show that if we can move the focal point in front of the mid peripheral retina we can slow the progression of myopia. The increased use of cell phones and computers, as well as less time outdoors is probably a contributing factor.

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OUR FAVOURITE

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Coach Eyewear at Empress Eye Clinic

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EMERGENCY INFO

Eye Emergencies - Looking For An Eye Doctor Near You?

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If you experience loss of vision, double vision, swelling, infection or any eye emergency, contact us immediately for guidance. We’ll help you with the best treatment to prevent complications and promote long-lasting clear eyesight.

Please call an optometrist near you at: 416-223-4500 for further instructions. Use your best judgment on after hours urgency, if you feel your need to find the nearest emergency room.

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WHAT’S NEW IN OPTOMETRY IN NORTH YORK, ONTARIO

To help prevent the spread of COVID-19, we have implemented many new comprehensive health and safety protocols to keep our patients and our team safe while at our office. Below is a summary of some of the changes we have made: • Our staff and doctors are required to self-screen for COVID-19 signs and symptoms prior to coming to work...

Stop by for your comprehensive eye exam today in North York!

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Optos Advanced Technology at Empress Eye Clinic in North York, Ontario
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Contact Lenses for the “Hard-to-Fit” Patient

Utilizing cutting edge technologies and techniques our eye doctors in North York, Toronto, design and fit Scleral Contact Lenses and other specialty contact lenses for hard to fit patients.

It is not uncommon for patients to have difficulty wearing contact lenses for a number of reasons. Due to the individual eye shape, certain conditions or impairments or the aftermath of surgery, some patients are considered to be “hard to fit” as contact lens wearers.

For hard to fit patients that prefer to wear contact lenses however, there are options available that can provide comfortable and effective contact lens wear. This will require a specialized fitting with an eye doctor that is an expert that knows your condition and the various products available to find the right match for your specific condition.  You may be considered a hard to fit contact lens candidate if you have one of the following conditions:

Dry Eyes

Astigmatism

Giant Papillary Conjunctivitis (GPC)

Keratoconus

Pellucid Marginal Degeneration

Complications from post-refractive surgeries including LASIK, PRK, RK, ALK, and CK and Intacs

Presbyopia (reduced near vision common in individuals aged 40 and over).

Corneal Scarring

Steven Johnson's Syndrome

Severe Dry Eye

Dry Eyes and Contact Lenses

Dry Eye Syndrome causes your eyes to feel dry, gritty, burning, red, and irritated.  Dry Eye Syndrome can also cause blurred vision. Often these symptoms can sometimes worsen by the use of contacts. In fact, many people who do not normally suffer from chronic dry eyes, will experience some of these symptoms as a result of contact lens wear.

First of all, if you have chronic dry eyes, you should see your eye doctor for treatment and relief before you think about contact lenses. Once your dry eyes are treated, it is safe to try contacts and there are a number of options that can be considered.

Many brands of soft contacts and products such as disinfectant and cleansing solutions are made with ingredients that are designed to be more comfortable for individuals with dry eyes. Your eye doctor will be able to recommend some of these brands and products to you. Alternatively, gas permeable (GP) or rigid gas permeable (RGP) lenses are made with a hard material that in some cases does not dry out like soft lenses and they are able to hold a certain amount of moisture beneath the lens to keep the eye from drying out. Gas permeable lenses are a very good option and can be quite comfortable for individuals with dry eyes.

Additionally, your doctor might recommend a specific wearing schedule such as limiting the time you wear your contacts throughout the day or replacing your contacts on a more frequent basis.

Toric Lenses for Astigmatism

Astigmatism is a condition that causes blurred vision (in some cases double vision) because rather than being round, the front of the eye (the cornea) has two curves instead of one, therefore, having two focal points instead of one. This makes it hard for traditional contact lenses to fit and therefore requires specialized contact lenses such as toric lenses or rigid gas permeable lenses (RGPs).

Toric contact lenses are designed to correct astigmatism and custom made to fit the eye of the patient. Most are made of soft material designed to stay in place on the eye, however in some cases, when the rotation of the lens (due to blinking and eye movement) can’t be stopped, gas permeable lenses might be tried. Due to the customization and more complicated fitting process required for these lenses, they are more expensive and take more time for the contact lens laboratory to make than traditional lenses.

Giant Papillary Conjunctivitis (GPC) and Contact Lenses

GPC is a type of conjunctivitis in which the inner surface of the eyelid becomes swollen.  The condition can be caused or worsened by a buildup of protein deposits on contact lenses.  Your eye doctor may either recommend daily disposable lenses or RGP lenses (which are not water-based) and therefore do not have a tendency for protein buildup.  Your doctor may also prescribe medicated eye drops and require you to stop the use of contact lenses until the symptoms improve.

Rigid Gas Permeable (RGP) or Gas Permeable (GP) Lenses

 

Rigid Gas Permeable (RGP) also known as Gas Permeable (GP) lenses are effective for many hard to fit patients.  The hard, oxygen permeable material lets the eye breathe and significantly reduces the chance of infection due to protein deposits which tend to harbor bacteria on soft lenses.  RGPs also hold moisture under the lens to keep eyes from drying out.

Rigid Gas Permeable (RGP) Lenses for Keratoconus

Keratoconus is a condition in which the cornea thins and bulges forward into a cone shape.  Traditional contact lenses may cause some discomfort in these patients and the vision may still be blurry therefore RGPs are often used for treatment for mild, moderate, and some severe cases.  Rigid gas permeable lenses may help to slow down the cone shape from worsening in some cases. Further, RGPs are able to assist in vision correction for keratoconus which is often not possible with soft contacts or even eyeglasses.

Post-LASIK or Vision Correction (Refractive) Surgery

While LASIK surgery has a very high success rate, there are vision complications and symptoms that sometimes remain.  Night vision after LASIK, in particular, can sometimes give you side effects such as glare or halos around lights.  RGPs are often effective in helping with these side effects and restoring clear vision.

Bifocal and Multifocal Contact Lenses for Presbyopia

Presbyopia is a common condition in those people usually over 40 years old iin which the eyes’ ability to focus on close objects is impaired. Many people keep a pair of bifocal or multifocal glasses on hand for times when they have to read menus, newspapers, books, and other objects that require near vision.  For those that prefer contact lenses over eyeglasses, bifocal and multifocal contact lenses are an option.

For some patients that have presbyopia and need correction for distance vision as well, one option is monovision.  Monovision is a contact lens fitting process in which you wear a contact lens in one eye for distance vision and the other contact lens of your other eye for near vision.  Another option is multifocal contact lenses.  In this contact lens fitting process, both eyes are usually fit for distance vision and both eyes are used for near at the same time.  Both contact lens fitting options usually take about one week for the brain and the eyes to adjust.

If you have one of these conditions or find contact lens wear difficult for another reason, speak to your eye doctor. As technology improves there are more and more options for hard to fit contact lens patients to benefit from the comfort and convenience of contact lens use.

 

Scleral Contact Lens

We design and fit scleral contact lenses by incorporating advanced technology such as OCT(Optical Coherence Tomography), Corneal Topography,  and Bio-microscope. When combined with our expertise in fitting specialty contact lenses, these advanced technologies help us to achieve  more accurate and comfortable contact lens fitting outcome. Scleral contact lenses can be the best option for many patients with keratoconus , post LASIK, RK, and other refractive surgery cases. Scleral contact lenses also can be the lens of choice for some other corneal disease such as Pellucid Marginal Degeneration, Irregular cornea, post corneal graft, Dry Eye , Steven Johnson syndrome,  and other ocular surface diseases. If you have failed in contact lenses for keratoconus and other corneal disorders in the past, make an appointment with us to see if scleral lenses can be the right solution for you.

The following conditions can be managed with scleral contact lenses.

  • Astigmatism - Some patients with irregular astigmatism benefit more clear vision correction from scleral lenses.
  • Sjogren's Syndrome- Sjogren's syndrome is an autoimmune disease that causes extreme dryness in many parts of the body, including the eyes. Scleral contact lenses provide relief by creating a reservoir of fluid between the lens and the cornea that keep the cornea moist and reduce dryness and discomfort.
  • Dry eye - Sever dry eye can be worsened by some regular corneal contacts, while scleral lenses provide a tear reservoir comfort and prevent corneal ulceration. They improve better vision,  comfort and quality of life and productivity at work
  • Graft vs. Host disease (GVHD)- Ocular manifestation of post graft complications can cause dry eye and other ocular surface disease , and corneal irregularities. Scleral lenses can be the best option to restore vision and comfort.
  • Corneal Dystrophy-Corneal Dystrophies are a group of inherited eye disorders that affect the cornea and can lead to corneal irregularities, causing patients to experience blurred vision. Scleral lenses offer the perfect solution, as they vault over the cornea, provides comfort and clear vision.
  • Keratoconus - Keratoconus or conical cornea is a progressive degenerative corneal disease. Eyeglasses and regular contacts can't provide a clear vision in Keratoconus.
  • Post- Corneal Surgery - Those who has  LASIK, a corneal transplant, or other corneal surgery, scleral contacts lenses can provide optimal vision correction and reduce the risk of corneal irritation or infection.
  • Steven Johnson's Syndrome 

Dr. Javad Heshmati, Optometrist

Dr. Heshmati is a Doctor of Optometry. He is certified in controlled substances, diagnostic, topical and oral therapeutics to medically treat eye diseases.

Dr. Heshmati received his optometry degree in 1991 from Shahid Beheshti University of Medical Sciences. After moving to Ontario in 1997, he continued studying Optometry and Ophthalmic Dispensing, and he received his certificates in ophthalmic dispensing in 1999. He received his certification from the Canadian Examiners in Optometry and became a member of the College of Optometrists of Ontario in 2004. He then started his practice as an Eye Doctor in Ontario.

Dr. Heshmati established the Empress Eye Clinic in 2007 to provide the highest quality eye care to his patients.

Dr. Heshmati backed his academic knowledge with extensive Optometry experience in ocular health, geriatric, pediatric, myopia control, primary care optometry, and contact lens. He co-manages cataract, corneal cross-linking and laser refractive surgery with top ophthalmic surgeons in Toronto.

Dr. Heshmati also prescribes and fits a wide range of advanced and specialty soft and gas permeable contact lenses (Toric for astigmatism, multi-focal for presbyopia, scleral for keratoconus and dry eye, therapeutic, bandage and prosthetic contact lenses for damaged cornea, and Orthokeratology ( Ortho K)also known as Corneal Reshaping for myopia control in kids.

Throughout more than 25 years of practice, Dr. Heshmati has demonstrated excellence in clinical practice by dedicating himself to the highest level of patient care. He continually strives to learn the latest knowledge and treatment techniques to incorporate them into his routine practice.

Dr. Heshmati strongly believes in preventative eye care. He incorporates advanced technologies and techniques in his practice, enabling him to diagnose, prevent, and treat eye diseases in the early stages to prevent vision loss.

Providing the most thorough eye care available and educating and helping patients understand all aspects of their vision and eye health, Dr. Heshmati prides himself that his patients are the primary referral source to his practice.

Dry Eye Treatment

Empress Eye Clinic equipped with advanced instruments to diagnose and treat dry eye.

Early detection of dry eye disease (DED) is essential. We incorporate a non- invasive dry eye assessment tests ,such as interferometry, NIKTBUT (None Invasive Keratograph Tear Break Up Time), Meibography,redness scan and osmolarity test.

After proper diagnosis, the treatment initiates.
Depends on the cause and severity of dry eye, the treatment could include one or a combination of the following treatments.

Antibiotics, steroid eye drops, lubricating eye drops and ointments, autologous serum, , warm compress, blinking exercises, cyclosporine eye drops, lifitegrast, Omega 3, punctal plugs, probing, scleral contact lenses, amniotic membrane transplant, and ILux device treatments.
Meibomian Gland Dysfunction (MGD), is the leading cause of dry eye in most cases. ILux Device is used to express the meibomian glands to help the flow of meibom. Treatments are quick and efficient. Targeted and well-controlled therapy in the dry eye allows immediate treatment exactly where needed.

In a clinical study reviewed by FDA, the ILux procedure significantly improved patient ocular surface disease index scores, which measures the severity of the dry eye symptoms. The analysis always showed a significant improvement in patients pain and discomfort, visual acuity, and meibom quality.

iLux_halfcom.mov from Linda Nye on Vimeo.

 

 

If you are among the many who suffer from irritable and debilitating dry eye disease symptoms, our Dry Eye Clinic, equipped with technologically advanced instruments, was created to help people just like you.
Dry Eye Disease (DED) is one of the most common yet debilitating eye problems that we see in our clinic. We have seen the number of our dry eye patients grow over time; on the one hand, the baby boomers become older, and on the other hand, young adults and even kids spend a significant amount of time staring at digital devices.

 

Dry eye is a chronic and progressive eye disease, if left untreated it may become so severe that interfere with work and normal activities and damage the cornea.

Dry eye is a multifactorial disease of the tear glands and ocular surface that causes symptoms of discomfort such as irritation, gritty, scratchy, itchy, blurred vision, and excess tearing.

 

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What is Dry Eye?

In a healthy eye, tears are responsible for the perfectly smooth ocular surface which allows clear vision. Tears also clean and lubricate the eye. Every time we blink, a fresh layer of tears, called the Tear lm, spreads over the eye. The Tear film is important for keeping the eye moist and comfortable and also to create a smooth optical surface on the cornea to provide a clear vision. Sometimes, the eye may stop producing enough tears or tears evaporate too quickly. This common and often chronic condition is referred to as dry eye disease.

It affects the quality of life!

People with dry eye disease may experience irritated, gritty, scratchy, or burning eyes, excess watering, and blurred vision. The level of discomfort is increased if you wear contact lenses or live in a dry climate. Paying attention to dry eye symptoms is important. If left untreated it may become so severe and debilitative that it interferes with work and normal life activities.

Causes of Dry Eye 

There are many causes with several broad categories of dry eye. Each type comes with particular treatments. There is some overlap between the types of dry eye, making the condition challenging to manage.

Evaporative dry eye

Meibomian Gland Dysfunction evaporative dry eye 

Environmental evaporative dry eye  

Life style – staring at computer screens, televisions, or electronic readers for long periods of time, exposure to air conditioning, wind, smoke, and dry climates

Aqueous deficient dry eye

The problem is due to decreased production of the aqueous component of the tears film from the lacrimal glands. Aqueous deficiency usually associated with auto-immune diseases (Sjögren's Syndrome and rheumatoid arthritis). Other medical condition such as diabetes, thyroid problem, and inflammation of eyelids. other causes are LASIK or other laser eye surgeries, where patients can experience dryness temporarily or even permanently due to the severing of the corneal nerves. long-term use of contact lenses  Medical treatments such a radiation or chemotherapy may have side effects which cause permanent damage to the lacrimal glands that produce most of the tears. Certain medications such as antihistamines, nasal decongestants, tranquilizers, certain blood pressure medicines may cause aqueous deficiency, Parkinson's medications, birth control pills, hormone-replacement therapy (HRT) and anti-depressants.

Age – dry eye disease often gets worse as we age

Gender – women are more likely to develop dry eyes

 

Neurotrophic Keratitis (NK) is a degenerative ocular disease characterized by loss of corneal sensitivity caused by impairment of corneal nerves. In early stage, NK may resemble dry eye symptoms. Differential  diagnoses in early stage is important to maintain the homeostasis and corneal health to prevent progressive damage to the cornea.

The tear filmEye Care Services

The tear film is structured with 3 components that work together: a complex mucus component, a watery portion (Aqueous) and a complex oil outer layer (Lipid).

The oil component (Lipid) is important for reducing evaporation of tears and also provides structure to the tear lm. Lipid is produced by the meibomian glands and is injected unto the tears with each blink. Meibomian gland dysfunction (MGD) can create a deficiency in the lipid component of the tears, which leads to the evaporative dry eye.

The watery component produced by the lacrimal glands (aqueous) is also important. A lack of aqueous production can result in another type of dry eye called aqueous deficient dry eye. Aqueous deficient dry eye can be associated with disorders such as rheumatoid arthritis and lupus.

The Keratograph 5M examination

OCULUS Keratograph 5M, erstmals mit Farbkamera und Objektivwechsler. Motiv zeigt Patient und Optiker/Optometrist.Das Motiv zeigt das gerät während einer Untersuchung mit Patient und Arzt.

OCULUS Keratograph 5M, Empress Eye Clinic

 

Quality and quantity of the tear filmIMG_0586

To measure the quality and stability of the tear film, the OCULUS Keratograph 5M measures the tear film break up time non-invasively. This test takes less than 30 seconds and does not require touching the eye.

To evaluate the quantity of the tear film, the Keratograph 5M takes a picture of the lower eyelid to measure the tear meniscus height.

Lipid layer

The Keratograph 5M can document a movie of the oily layer of the tear film. A healthy and thick lipid layer is colourful and protects the tears from fast evaporation. If there is not enough lipid, the tear lm becomes unstable, the moisture dissipates quickly and both vision and comfort can be compromised.

Meibographyimage

Located in both upper and lower lids, the meibomian glands produce complex oils that stabilize the tear film and prevent tear evaporation. If the meibomian glands do not function properly dry eye usually occurs. Your doctor can utilize the advanced features of the Keratograph 5M to directly assess the health of your meibomian glands.

Dry eye treatments

For evaluating the dry eye and ocular surface disease and measuring the quality and quantity of the tear film, optometrists at Empress Eye Clinic in North York, use an advanced non-invasive diagnostic instrument to create a personalized plan for treatment.

 

DryEye Woman

Dry eye treatment can now be targeted to address the underlying cause of the problem. Some patients suffer from a lack of tear production, others from excessive evaporation of their tears. Most suffer from a combination of both problems. After a comprehensive examination using the advanced diagnostic tools provided by the Keratograph 5M, osmolarity tests, etc, your doctor can more accurately assess the precise cause and severity of your dry eye. Using this detailed information, they can recommend the best course of treatment to address your specific problem.

Keratograph® 5M has a high-resolution colour camera and is equipped with intelligent software to analyze the collected data and document the findings. It can also compare the results and show the success of the dry eye treatment. With help of the Keratograph® 5M your eye doctor in North York, ON can find the root cause of your dry eye disease and can suggest the best treatment plan.

For patients with more severe dry eye, scleral contact lenses can be life-changing.  By providing a physical barrier that holds a layer of tears in place and prevents evaporation, scleral lenses can provide comfort like nothing else. Using advanced technology we can design scleral contact lenses to provide clear and comfortable vision for dry eye pateints.

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Wellness exam & general screening with the Keratograph 5M

Early detection is important for preserving your eyesight. Many eye disorders that lead to discomfort and reduced vision are easily treatable if diagnosed early. Regular eye wellness exams are recommended by our eye care professionals in North York, Ontario. The dry eye screening with the Keratograph is quick and easy.

Emergency Eye Care

Emergency eye care North York, ONWhat part do optometrists play in treating pressing eye care issues?

Notwithstanding diagnosing, treating and anticipating eye illnesses, most doctors of optometry give care to urgent eye well being issues like contaminations (ie. pink eye), irritation (ie. blepharitis), sensitivities and eye wounds, including removing foreign bodies from the eye. As trained experts, optometrists can survey abnormal or sudden vision changes and different conditions bringing about eye discomfort and, when needed, give referrals to different authorities. On the off chance that you have an eye-related crisis, contact your eye doctor Toronto, ON.

Do you require a referral to see a doctor of optometry?

No, you needn't bother with a referral, and optometrists can frequently see you that same day.

Are expenses connected with visits to an optometrist for critical care issues covered?

Health coverage of critical care providers differs by province. Contact your optometrist near to Thornhill, ON learn more about how critical care services are covered under your provincial medical insurance plan.

What are the most widely recognized critical vision issues?

The most well-known issues are pink eye, redness, hypersensitivities, eye infection and irritation, and foreign items stuck in the eye.

What are some normal indications of eye diseases?

Basic manifestations include:

  • Redness
  • Pain
  • Discharge
  • Itching
  • Blurry Vision
  • Light sensitivity
  • Swelling

Where do most eye wounds happen?

  • 44% happen at home
  • 16% happen at work
  • 14% at school or elsewhere
  • 15% during games and recreation
  • 11% while driving

Whatever is happening with your eyes or if you suffer or even suspect that a foreign body has penetrated the outer eye layer it's best to go to the nearest eye clinic as soon as possible. Doing nothing can lead to loss of vision, premature cataracts and damage to the retina so do not take any chances and don't delay.

 

Please call Empress Eye Clinic at 647-930-0500 for further instructions. Use your best judgment on urgency, if you feel your need to find the nearest emergency room.

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Treatment of Eye Diseases

 

 
Utilizing cutting edge technology  Drs. Heshmati  ,and Habib  diagnose and manage, with greater precision, diseases like Glaucoma, Macular Degeneration, Keratoconus, Retinal diseases, Cataracts ,Iritis, Uveitis, and Ocular surface diseases . The sooner the condition is diagnosed and treated,  the better the outcome. We are taking an aggressive approach to diseases that previously had few treatment options. Great advances have been made in the treatment of these diseases.

Empress Eye Clinic makes it an imperative that all staff members are up-to-date on the latest technology and techniques to make your visit to our clinic as comfortable and effective as possible. As ophthalmic and optometric technology changes, it is critical that our eye doctors have all the right eye care qualifications and follows the latest developments in eye care.

 
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