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In Reply.
—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.