Dr. Gregg Lueder delivers the Leonard Apt Lecture at Pediatric Ophthalmology Subspecialty Day 2022, reviewing major advances in the subspecialty over the past 30 years. He also highlights the joy of working with children, the people and advice he's benefited from over the years, and future research efforts.

The many topics discussed include the following:

• the happiest medical specialties
• disorders managed by pediatric ophthalmologists
• dacryocystocele complications and outcomes
• nasolacrimal duct (NLD) cysts as an unrecognized cause of probe failure
• why NLD probing is less successful in children with trisomy 21
• systemic chemotherapy and direct laser treatment for retinoblastoma
• what's new: retinoblastoma versus Coats disease