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Welcome to the October issue of The Ophthalmologist! Upfront’s topics include biomarkers for AMD and the perils of nerf guns. In My View sees Cynthia Matossian discuss the importance of diversity, and Berthold Seitz focuses on the merits of clinician-led research. In our “electrifying” Feature, D. Michael Ackermann shares his story on developing Oculeve – the nasal neurostimulator device for dry eye. In Practice sees Tony Realini discuss how to improve diagnosis of patients with normal tension glaucoma, and Elizabeth Shen and Jeremiah Tao focus on epiphora and how to manage patients with excessive tearing. In NextGen, Hao F. Zhang talks about developing new imaging technologies to assess retinal biological function, and in Profession, four dedicated Orbis volunteers share their experiences. Finally, we Sit Down With Sheraz Daya, Ophthalmologist and Medical Director of the Centre for Sight in the UK.