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We thank Galvis et al for their interest in our paper.1 We agree that a more quantitative estimate of the effect of education on myopia would be very interesting. Unfortunately for this meta-analysis contributing studies from the European Eye Epidemiology (E3) Consortium submitted summary data, this means that an analysis producing estimates for the step change in myopia prevalence per year in education was not possible. Additionally, although some studies have genetic data on their participants, genetic material is not universally available on the E3 studies, and as such we are unable to undertake a similar analysis to the interesting paper by Cueller-Partida et al.

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