The only constant is change. This is as true in ophthalmic care as in any other field. Today, changes in technology have implications inside the exam room and beyond. What do these changes mean for the future of your practice? OCT scanning, which can detect the start of disease before findings appear under slit lamp examination, continues to evolve. For example, the recent development of OCT-angiography (OCT-A) allows for examination of retinal vasculature without need for injection of a contrast dye.1 More and better treatment options continue to become available. For example. intraocular injections now treat certain forms of macular degeneration once considered untreatable. Options to treat glaucoma are less invasive. The FDA has approved the first sustained-release, intraocular pressure-lowering implant, which may help address the problem of noncompliance in patients who until now had to self-administer eye drops.2 Evolution in technology to improve clinical care is significant but familiar territory. Changes in technology with impact extending outside the exam room are potentially more disruptive.