Sir,

We deeply appreciate the comments from Rajendram et al1 regarding our article ‘Intravitreal ranibizumab for choroidal neovascularisation secondary to pathologic myopia: 12 month results’.2 We agree that myopia cannot be assessed accurately only with refraction. In some patients lenticular changes could contribute to a certain amount of myopia. Axial length was not used in this study. However, patients had to have retinal abnormalities consistent with pathological myopia (such as lacquer cracks, peripapillary atrophy, etc).

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