Where to Find Precision Vision London Clinic
The UK’s Best Eye Surgery Clinic on Harley Street, London
Piggyback intraocular lenses (IOLs) are an advanced surgical option for patients seeking enhanced vision correction or refinement following cataract surgery or refractive lens exchange (RLE). This innovative procedure involves implanting an additional IOL on top of the existing one to address residual refractive errors or fine-tune visual outcomes.
Before proceeding with piggyback IOL implantation, patients undergo a comprehensive eye assessment to determine candidacy and identify the most suitable lens combination. During the brief outpatient procedure, typically lasting 15-30 minutes per eye, the supplementary IOL is delicately inserted over the primary lens through a small incision.
Recovery from piggyback IOL surgery is generally swift, with minimal discomfort experienced by most patients. Within days to weeks after the procedure, individuals can resume their daily activities, enjoying improved vision and clarity. Post-operative follow-up appointments are scheduled to monitor healing progress and ensure optimal visual outcomes.
While piggyback IOL surgery offers significant benefits in fine-tuning vision, potential risks such as increased intraocular pressure or refractive surprises should be discussed with a qualified ophthalmologist. By collaborating closely with their eye care team, patients can make informed decisions tailored to their specific needs, achieving enhanced visual acuity and quality of life.
After undergoing surgery at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you can gradually resume normal activities, but there are restrictions on certain activities. The duration of waiting time before resuming physically exertive or high-risk activities varies, with the longest waiting period being six weeks after treatment. A full list of any applicable restrictions will be discussed during your consultation.
During your first check-up, either Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes. Patients can usually begin driving 2 to 3 days after surgery, but this will be confirmed during your first post-operative check based on your eye examination and healing progress.
Dryness is common after treatment and may last up to a month, which is normal as part of the healing process.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
After undergoing treatment for astigmatism at Precision Vision, your aftercare begins immediately after the procedure, with a recovery period in the clinic's designated area. Once you're ready to leave, a specialist nurse will conduct a thorough examination before you depart. Your first post-operative check typically occurs within the first few days following treatment.
After treatment, you can gradually resume normal activities, although there may be restrictions on certain activities. The duration of the waiting period before resuming physically exertive or high-risk activities varies, with detailed guidelines provided during your consultation.
During your first check-up, either Precision Vision’s senior refractive optometrist or lead surgeon will assess your eyes. Depending on your individual healing progress, driving may be permitted within a few days following treatment, as confirmed during your initial post-operative check.
Dryness is a common occurrence after treatment for astigmatism and may persist for up to a month as part of the normal healing process. Precision Vision offers a comprehensive aftercare program featuring regular post-operative checks throughout the year to monitor your visual improvement. These checks can be conducted at the clinic or with partner optometrists in the network, starting from three months onwards. Our aftercare program includes prescription drops, regular postoperative checks, access to a wide optometrist network, free fine-tuning within the first year, and a commitment to one year of aftercare support.
A treatment plan for astigmatism typically begins with a comprehensive eye examination by an optometrist or ophthalmologist to assess the severity and nature of the condition. Based on the findings, corrective lenses such as eyeglasses or contact lenses may be prescribed to compensate for the irregular curvature of the cornea or lens. Regular follow-up visits are essential to monitor any changes in vision and adjust prescriptions accordingly.
For those seeking a more permanent solution, refractive surgery like LASIK or PRK may be considered after discussions with an eye care professional. Additionally, maintaining good eye health practices, including protecting the eyes from injury and practicing proper hygiene when using contact lenses, is crucial for managing astigmatism effectively. Adjustments to lifestyle factors such as screen time and lighting conditions can also help alleviate symptoms of eye strain and fatigue associated with astigmatism.
After undergoing Collagen Cross Linking treatment at our UK clinic, patients receive comprehensive post-operative care including an eye cover for the treated eye and a regimen of anti-inflammatory, antibiotic, and hydrating drops. Our experienced staff provides detailed instructions on the proper usage of these drops to ensure optimal recovery. The first post-operative check, scheduled 4 to 5 days after treatment, involves a thorough examination by our surgeon and removal of the protective lens.
During the recovery period, lasting up to a week, patients may experience discomfort for 2 to 3 days post-treatment, with dry eyes being a common occurrence. Visual fluctuations may persist for 1 to 3 months until the prescription stabilises, necessitating possible adjustments in glasses or contact lenses.
Although most patients achieve stability in vision after this period, minor fluctuations could persist for up to six months post-treatment. Regular post-operative checks, starting from 3 months after treatment, are essential and can be conducted either at our clinic or at one of our optometrist network partners.
Following treatment, patients can gradually resume normal activities with certain restrictions discussed during consultation. Driving is usually permitted once the prescription stabilises and new glasses or contact lenses are obtained. Patients using Kerasoft lenses may resume driving activities sooner, with a waiting period potentially reduced to 5 to 10 days.
Collagen Cross Linking is a non-invasive procedure aimed at strengthening the cornea to halt the progression of conditions like Keratoconus. Each eye undergoes individual treatment, spaced a week apart for optimal recovery. The procedure, lasting approximately 60 minutes per eye, begins with the application of anaesthetic drops to ensure patient comfort. An eyelid guard is then used to prevent blinking while the surgeon delicately applies a weak alcohol solution to soften and remove the upper epithelial cells.
Following epithelial removal, Riboflavin (Vitamin B2) solution is meticulously dropped onto the eye's surface, facilitating the Cross Linking process. The eye is exposed to controlled UV light, repeating the process of adding drops and UV exposure as necessary.
Post-procedure, a protective contact lens is inserted to safeguard the eye until the first post-operative check, scheduled four days later. Detailed instructions regarding precautions and medications for recovery are provided by a specialist nurse to ensure optimal healing.Throughout the procedure, patient comfort is prioritised, with anaesthetic drops used to numb the eye.
The meticulous removal of upper epithelial cells and application of Riboflavin solution are performed by skilled surgeons to facilitate the Cross Linking process effectively. The use of protective contact lenses post-procedure aims to safeguard the eye until the initial post-operative check, where progress is monitored and further guidance on recovery is provided by specialists.
Implantable contact lenses (ICLs) offer an alternative vision correction option for individuals with nearsightedness (myopia), particularly those with higher degrees of refractive error. Unlike traditional contact lenses that sit on the surface of the eye, ICLs are surgically implanted inside the eye between the iris and the natural lens. This placement allows for vision correction without altering the cornea's shape, making it an attractive option for those ineligible for laser eye surgery.
The ICL implantation procedure is typically quick and performed on an outpatient basis. Before surgery, thorough measurements are taken to ensure proper sizing and fit of the lens. During the procedure, a small incision is made in the cornea, and the flexible ICL is inserted and positioned in the eye. Patients often experience rapid visual improvement and minimal discomfort following surgery. With proper care and follow-up appointments, ICLs can provide long-term vision correction, offering clear, natural vision for those seeking an alternative to glasses or traditional contact lenses.
Lens replacement treatment, also known as refractive lens exchange (RLE) or clear lens exchange (CLE), is a surgical procedure designed to correct vision issues such as nearsightedness, farsightedness, presbyopia, and astigmatism. This surgery involves removing the eye's natural lens and replacing it with an artificial intraocular lens (IOL) customised to the patient's needs. Prior to surgery, a thorough eye examination is conducted to assess candidacy and determine the most suitable IOL type.
During the 15-30 minute outpatient procedure per eye, the natural lens is extracted through a small incision and substituted with the chosen IOL.
Recovery typically involves minimal discomfort and patients can resume normal activities within a few days to a week post-surgery. Follow-up appointments are scheduled to monitor healing progress, evaluate vision improvement, and make any necessary adjustments to the treatment plan. Lens replacement treatment provides a safe and effective option for vision correction, particularly for individuals unsuitable for other refractive surgeries. Despite potential risks such as infection or vision changes, discussing these factors with an eye surgeon helps patients make informed decisions tailored to their unique circumstances.
Cataracts, the clouding of the eye's natural lens, can significantly impair vision over time. However, effective treatment exists through surgical intervention. Diagnosis involves a thorough eye examination by a professional, including visual acuity tests and lens examination. Once diagnosed, the primary treatment for cataracts involves surgical removal of the cloudy lens and replacement with an artificial intraocular lens (IOL).
Cataract surgery is a safe and outpatient procedure, commonly utilising advanced techniques like phacoemulsification. This method involves breaking up the cloudy lens and removing it through a small incision, followed by implantation of an artificial IOL. Most individuals experience significant vision improvement post-surgery, with minimal discomfort and a short recovery period. Advanced technology lenses are also available to correct vision at different distances, reducing or eliminating the need for glasses or contact lenses after surgery.
While cataracts may be age-related, timely surgical intervention allows individuals to regain clear vision and resume normal activities. Regular eye examinations remain crucial for early detection and management of cataracts, ensuring optimal eye health.
Treatment aims to improve vision and slow the condition's progression. Options include corrective eyewear like glasses or specialised contact lenses such as rigid gas permeable (RGP), hybrid, or scleral lenses. Advanced treatments like corneal Cross Linking, Intacs insertion, or corneal transplantation may be necessary in severe cases.
Regular monitoring by an eye care professional is crucial to adjust treatment as needed. While Keratoconus can impact daily life, appropriate management can often provide significant vision improvement and preserve eye health.
Corneal implants, also called corneal inlays or inserts, are small devices surgically implanted into the cornea to correct vision problems like presbyopia or Keratoconus. These implants modify the cornea's refractive properties, enhancing its ability to focus light onto the retina. There are various types tailored to specific vision issues, such as presbyopia-correcting implants and Keratoconus implants.
The procedure involves pre-operative evaluation, surgical implantation under local anesthesia, post-operative care including medication and activity restrictions, and regular follow-up visits to monitor progress and adjust treatment as needed. While corneal implants can offer significant vision improvements, potential risks and complications should be discussed with your eye doctor before proceeding.
Treatment for Kerasoft lenses begins with a consultation and examination with an experienced eye care professional who evaluates your suitability for these specialised lenses through a comprehensive eye examination. Custom fitting follows, where precise measurements of your eyes are taken to tailor Kerasoft lenses to fit the unique shape of your corneas.
Once measurements are obtained, the specifications for your custom lenses are sent for manufacturing. Upon receiving your Kerasoft lenses, a trial period allows assessment of comfort and vision correction, during which your eye care provider may make adjustments for optimal fit. Regular follow-up visits are essential after starting to wear Kerasoft lenses to monitor eye health and make any necessary prescription adjustments.
Proper lens care, including learning and following proper cleaning and storage instructions provided by your eye care provider, is crucial to maintain lens hygiene and prevent eye infections. Lastly, Kerasoft lenses have a limited lifespan and require periodic replacement based on your eye health and wear schedule as recommended by your eye care provider.
Diligently following these steps ensures the best outcomes with Kerasoft lenses, providing comfort and optimal vision correction for individuals with irregular corneas.
Following your LASEK (Laser Epithelial Keratomileusis) procedure at Precision Vision, your aftercare journey begins immediately after your surgery. You'll have the opportunity to relax in our comfortable recovery area, ensuring your comfort and well-being before you leave. Our specialist nurse will conduct a thorough examination to ensure the procedure was successful and to provide any immediate care you may need.
After undergoing LASEK, it's essential to adhere to specific guidelines tailored to your individual needs. You may have restrictions on certain activities, and we'll provide guidance on when you can safely resume normal activities based on your case. We'll discuss any relevant restrictions during your consultation to ensure optimal healing and recovery.
During your first post-operative check-up, our experienced refractive optometrist or lead surgeon will carefully assess your vision and the healing progress of your eyes. Since LASEK involves a more superficial treatment of the cornea compared to LASIK, this examination will focus on ensuring proper epithelial healing and vision improvement.
At Precision Vision, we're committed to providing exceptional aftercare through our comprehensive program. This includes regular post-operative check-ups to monitor your vision and the long-term success of your LASEK procedure. These appointments can be scheduled at our Harley Street clinic or with one of our trusted partner optometrists within our extensive network.
Our aftercare program includes:
Following your LASIK procedure at Precision Vision, your aftercare begins immediately after your surgery. You'll have the opportunity to relax in our comfortable recovery area, ensuring your comfort and well-being before you leave. Our specialist nurse will conduct a thorough examination to ensure the procedure was successful and to provide any immediate care you may need.
After undergoing LASIK, it's crucial to adhere to specific guidelines tailored to your individual needs. You may have restrictions on certain activities, and we'll provide guidance on when you can safely resume normal activities based on your case. We'll discuss any relevant restrictions during your consultation to ensure optimal healing and recovery.
During your first post-operative check-up, our experienced refractive optometrist or lead surgeon will carefully assess your vision and the healing progress of your eyes. Since LASIK is a highly precise surgical procedure, this examination will focus on ensuring your vision is improving as expected and that your eyes are healing properly.
At Precision Vision, we're committed to providing exceptional aftercare through our comprehensive program. This includes regular post-operative check-ups to monitor your vision and the long-term success of your LASIK procedure. These appointments can be scheduled at our Harley Street clinic or with one of our trusted partner optometrists within our extensive network.
Our aftercare program includes:
Following your Phototherapeutic Keratectomy (PTK) procedure at Precision Vision, your aftercare journey begins immediately after your treatment. You'll have the opportunity to relax in our comfortable recovery area, ensuring your comfort and well-being before you leave. Our specialist nurse will conduct a thorough examination to ensure the procedure was successful and to provide any immediate care you may need.
After undergoing PTK, it's crucial to adhere to specific guidelines tailored to your individual needs. You may have restrictions on certain activities, and we'll provide guidance on when you can safely resume normal activities based on your case. We'll discuss any relevant restrictions during your consultation to ensure optimal healing and recovery.
During your first post-operative check-up, our experienced refractive optometrist or lead surgeon will carefully assess the healing progress and effectiveness of your PTK procedure. Since PTK is a specialised treatment for various corneal conditions, this examination will focus on ensuring the cornea is healing properly and that the desired therapeutic outcomes are achieved.
At Precision Vision, we're committed to providing exceptional aftercare through our comprehensive program. This includes regular post-operative check-ups to monitor your healing progress and the long-term success of your PTK procedure. These appointments can be scheduled at our Harley Street clinic or with one of our trusted partner optometrists within our extensive network.
Our aftercare program includes:
Following your corneal implant surgery at Precision Vision, your aftercare begins immediately in our recovery room, where you can rest comfortably under our supervision. When you're ready to leave, our specialist nurse will conduct an examination to ensure your well-being before you head home. Your first post-operative check typically occurs within the first few days after the surgery.
After corneal implant surgery, it's important to follow specific guidelines tailored to your needs. You may have restrictions on certain activities, and we'll advise you on when you can safely resume physically demanding or high-risk activities based on your individual case. We'll discuss a detailed list of any relevant restrictions during your consultation to ensure a smooth recovery.
During your first check-up, our senior refractive optometrist or lead surgeon will carefully examine your eyes. Given the specialised nature of corneal implant surgery, this examination will focus on monitoring healing and assessing the effectiveness of the treatment.
At Precision Vision, we're committed to providing exceptional aftercare through our comprehensive program. This includes regular post-operative checks throughout the year to monitor your progress and the status of your corneal implants. These appointments can be scheduled at our Harley Street clinic or with one of our trusted partner optometrists in our network (from three months post-surgery).
Our aftercare program includes:
Following your Kerasoft lenses fitting at Precision Vision, your aftercare begins immediately after your appointment. You'll have the opportunity to relax in our comfortable surroundings, ensuring your comfort before you leave. Our specialist optometrist will conduct a thorough examination to ensure the lenses fit properly and provide the vision correction you need.
After being fitted with Kerasoft lenses, it's essential to follow specific guidelines tailored to your individual requirements. You may have restrictions on certain activities, and we'll provide guidance on when you can resume normal activities based on your case. We'll discuss any relevant restrictions during your consultation to ensure optimal comfort and vision correction.
During your first follow-up appointment, our experienced optometrist will carefully assess the fit and effectiveness of your Kerasoft lenses. Since Kerasoft lenses provide specialised vision correction, this examination will focus on ensuring the lenses are providing the necessary visual acuity and comfort.
Precision Vision is committed to providing exceptional aftercare through our comprehensive program. This includes regular follow-up appointments to monitor your vision and the performance of your Kerasoft lenses. These appointments can take place at our Harley Street clinic or with one of our trusted partner optometrists within our extensive network.
Our aftercare program includes:
After undergoing treatment for astigmatism at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you can gradually resume normal activities, but there may be restrictions on certain activities, depending on the specific procedure you underwent. Your surgeon will provide detailed instructions regarding the duration of any waiting periods before resuming physically exertive or high-risk activities.
During your first check-up, Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes to assess the effectiveness of the treatment in correcting your astigmatism.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement and the status of your astigmatism. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
After undergoing treatment for Keratoconus at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you should follow specific guidelines tailored to managing Keratoconus. There may be restrictions on certain activities, and the duration of waiting time before resuming physically exertive or high-risk activities will be advised based on your individual case. A full list of any applicable restrictions will be discussed during your consultation.
During your first check-up, Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes. Since Keratoconus requires specialised care, this examination will focus on monitoring the progression of the condition and the effectiveness of the treatment.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement and the status of your Keratoconus. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
After undergoing cataract surgery at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you can gradually resume normal activities, but there are restrictions on certain activities. The duration of waiting time before resuming physically exertive or high-risk activities varies, with the longest waiting period being six weeks after treatment. A full list of any applicable restrictions will be discussed during your consultation.
During your first check-up, either Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes. Patients can usually begin driving 2 to 3 days after cataract surgery, but this will be confirmed during your first post-operative check based on your eye examination and healing progress.
Dryness is common after treatment and may last up to a month, which is normal as part of the healing process.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
After undergoing lens replacement surgery at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you can gradually resume normal activities, but there are restrictions on certain activities. The duration of waiting time before resuming physically exertive or high-risk activities varies, with the longest waiting period being six weeks after treatment. A full list of any applicable restrictions will be discussed during your consultation.
During your first check-up, either Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes. Patients can usually begin driving 2 to 3 days after lens replacement surgery, but this will be confirmed during your first post-operative check based on your eye examination and healing progress.
Dryness is common after treatment and may last up to a month, which is normal as part of the healing process.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
After undergoing implantable contact lens treatment at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you can gradually resume normal activities, but there are restrictions on certain activities. The duration of waiting time before resuming physically exertive or high-risk activities varies, with the longest waiting period being six weeks after treatment. A full list of any applicable restrictions will be discussed during your consultation.
During your first check-up, either Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes. Patients can usually begin driving 2 to 3 days after implantable contact lens treatment, but this will be confirmed during your first post-operative check based on your eye examination and healing progress.
Dryness is common after treatment and may last up to a month, which is normal as part of the healing process.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
Precision Vision stands out from other laser eye clinics in London by offering laser eye surgery in a convenient location. On the day of your treatment, our clinical team will guide you through the process and address any concerns or questions you may have. Drops will be provided for post-procedure use.
Our expert surgeons use the safest and most advanced technology available. We prioritise patient safety and only offer treatments that have undergone extensive clinical trials, avoiding experimental procedures.
In our laser theatre, we utilise the most advanced laser equipment. We employ Advanced Wavefront technology for laser vision correction procedures for all Lasik treatments, enhancing results and expediting recovery time.
Precision Vision proudly features the SCHWIND AMARIS®️ 1050RS, the world's highest-performance eye laser for refractive and therapeutic corneal surgery, ensuring exceptional outcomes for our patients.
After receiving treatment at Precision Vision, your aftercare begins immediately in the recovery room where you can relax. When you're ready to leave, our specialist nurse will examine you before you go home. Your first post-operative check typically occurs within the first two days of treatment.
Following treatment, you can resume normal life, but there are restrictions on certain activities. The duration of waiting time before resuming physically exertive or high-risk activities varies, with the longest waiting period being six weeks after treatment. A full list of any applicable restrictions will be discussed during your consultation.
During your first check-up, either Precision Vision’s senior refractive optometrist or lead surgeon will examine your eyes. Patients can usually begin driving 2 to 3 days after LASIK treatment and 4 to 5 days after LASEK, but this will be confirmed during your first post-operative check based on your eye examination and healing progress.
Dryness is common after treatment and may last up to a month, which is normal as part of the healing process.
Precision Vision offers outstanding patient care through its aftercare programme, featuring regular post-operative checks throughout the year to monitor your visual improvement. These checks can take place at the Harley Street clinic or with one of our partner optometrists in our independent network (from 3 months onwards).
Our comprehensive aftercare programme includes:
At Precision Vision, we prioritise personalised care to ensure every patient receives the most suitable treatment for their visual and lifestyle needs. Our consultations, lasting about 2 hours, involve thorough tests conducted by experienced refractive optometrists and technicians.
After comprehensive testing, patients will meet with our Medical Director, Dr. CT Pillai, or a trained specialist optometrist to discuss suitability and create a tailored treatment plan. Dilating drops are used during the consultation, lasting approximately six hours, affecting near vision and causing light sensitivity.
During the consultation, patients undergo various tests, including:
Following testing, patients meet with Dr. Pillai to discuss suitability, address concerns, and receive detailed information on risks and treatment options. An information booklet is provided to facilitate an informed decision-making process.
Precision Vision’s patient coordinators will assess your suitability over the phone and inform you of possible treatment options, saving time for unsuitable patients.
A confirmation letter with a medical questionnaire will be sent upon booking a consultation. Please fill it out before the initial assessment and bring it to the consultation or email it beforehand.
Contact lens wearers need to prepare for accurate results:
Bring at least two previous prescriptions, glasses, or contact lenses to your consultation, even if they are old. If not emailed, bring the medical questionnaire and any relevant medical records.
Dilating drops will be used, so avoid driving on the consultation day and bring sunglasses for sensitivity to light afterward.
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