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Myopia and Scleral Reinforcement: A Sensitive Nerve

William W. Miller, MD
JAMA. 1985;254(17):2414. doi:10.1001/jama.1985.03360170053028.
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To the Editor.—  Regarding Dr Curtin's answer to Dr Pika's1 question about bilateral high myopia, I respect Dr Curtin's great contributions to our knowledge concerning high myopia and degenerative myopia. However, he missed answering the following points.

  1. The first concerns the management of the 3 1/2-year-old male with severe myopia. This condition, when congenital, is not apt to progress. Therefore, it could not be considered degenerative at this point and surgery is definitely not indicated. I advise fitting contact lenses as soon as cooperation with the youngster can be obtained. This will provide the greatest visual rehabilitation and visual development.

  2. Second, Dr Curtin indicates that scleral reinforcement surgery is not useful. I wish to refute this and refer the readers to my article concerning scleral reinforcement surgery published in the Transactions of the American Academy of Ophthalmology (November-December 1974). In addition, I presented an exhibit at the


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