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Welcome to the April edition of The Ophthalmologist, our 2019 Power List issue! You’ll find the latest research and industry updates in Upfront – from visual simulation of multifocal IOL implantation effects to the latest multimodal imaging platform being installed at the International Space Station, monitoring the impact that long space flights have on astronauts’ eyes. This issue’s In My View section features leading experts speaking on current hot topics in ophthalmology: Constance Okeke talks about using advanced IOLs for glaucoma patients, and Steven Vold discusses the impact refractive surgery has on elderly patients’ quality of life. This month’s cover feature is the immensely popular annual Power List, featuring ophthalmology’s biggest names in five distinct categories, as voted for by our readers, and ranked by an independent panel of experts. We also interview Dr Glaucomflecken, an anonymous Twitter personality, who received the most votes in this year’s nominations process. Our In Practice section this month features Abdul-Jabbar Ghauri’s perspective on treating vernal keratoconjunctivitis. Finally, we Sit Down With Clare Davey, Director of Examinations at the International Council of Ophthalmology.