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      We appreciate Dr Bruce's interest in our paper and share her intrigue on the nature of the interaction between gender and myopia.
      • Holden B.A.
      • Fricke T.R.
      • Wilson D.A.
      • et al.
      Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050.
      Some papers included in our systematic review and meta-analysis provide age- and sex-specific data as Dr Bruce notes, but many do not. In addition to data availability, our analysis suggested that age, urbanization, location, and ethnicity had stronger effects than sex or gender on myopia prevalence, so we prioritized maintaining disaggregation and statistical strength accordingly.
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      References

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