For the dedicated physician, ophthalmic practice is constantly evolving. A steady influx of new technologies and techniques yields sometimes-seismic shifts in our delivery of care. But many times, some of the most significant sources of change present on a case-by-case basis. A particular presentation, a challenging surgical maneuver, a specific doctor-patient experience—even the most routine facets of care can sometimes present tiny sparks that serve to ignite major change.

In this issue of MillennialEYE, surgeons describe a range of situations that altered the way in which they practice. From the Yamane technique to occult corneal erosions to a self-diagnosed “cataract,” these cases illuminate the many opportunities we receive to change our craft for the better. All of these accounts, in turn, exemplify the importance of remaining aware of the subtleties of each and every encounter—they may end up having the most significant impact.