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November 1, 1985

Myopia and Scleral Reinforcement: A Sensitive Nerve

Author Affiliations

San Gabriel, Calif

JAMA. 1985;254(17):2413-2414. doi:10.1001/jama.1985.03360170053027

To the Editor.—  I recently read Dr Brian Curtin's answer to Dr Pika's1 question about his grandson who had severe bilateral high or degenerative myopia and whether there was any treatment possible.Dr Curtin is certainly an extremely well-known and respected researcher of the pathogenesis of myopia. However, I strongly disagree with his comments directed toward scleral reinforcement for posterior staphyloma in high myopia. Dr Curtin and I have recently had an opportunity to debate this procedure at the symposium on myopia at Ohio State University in Columbus, and I feel that Dr Curtin, as I am sure he would be the first to acknowledge, represents one side of the scleral reinforcement question. He gives the impression in his letter that the operation was developed in eastern Europe, whereas it was originally developed by Dr William Borley in San Francisco more than 25 years ago and has subsequently been