I appreciate Dr Bacal’s interest in the study findings. His recommendationsfor enhancing their validity were implemented, and only subjects with hyperopiagreater than 5 D were selected from the database for analysis. The 51 recordswere grouped in the same manner as those in the original article. Mean sphericalequivalents and mean axial length–disc area ratios are in the Table.
Lempert P. An Argument Against Axial Length–Disc Area Ratio as the Causeof Esotropic Amblyopia—Reply. Arch Ophthalmol. 2004;122(11):1732-1733. doi:10.1001/archopht.122.11.1732-b