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Hi AZArtist, Thanks for your question. If the TV adapter box for your hearing aids supports digital optical port, then it should be compatible. Note: - Optical audio output and S-CENTER SPEAKER IN share the same terminal. - To use as optical audio output, use the Digital audio connector adapter supplied with the TV. For more information about connecting terminals, please refer to this help guide link: https://helpguide.sony.net/tv/kusltn2/v1/en-003/01_10.html Regards, Jess
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