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—As our article clearly stated, instances exist where the ophthalmologist would most certainly wish to use all means available to "customize" his results for a particular eye. We hoped that we also made clear that one would most certainly not use a standard lens (be it 20 D or whatever, over the long haul, gives the best emmetropic results for that particular surgeon) when the goal is myopia. If 20 D were the standard emmetropic lens for Dr Chapin's surgeon, he would have chosen a 22.5-D lens to attempt to obtain 1.5 D of myopia.Finally, we are delighted that Dr Chapin's final refraction was exactly the one sought. We also tried to make clear that this is an unusual outcome.
Sommer A, Singh K. Intraocular Lens Power-Reply. Arch Ophthalmol. 1988;106(1):13. doi:10.1001/archopht.1988.01060130015004