Too busy to read the Lens? Listen to our weekly summary here! In this week’s episode we discuss…

• A cohort study of NASA astronauts found that those who developed spaceflight-associated neuro-ocular syndrome during one long-duration mission were highly likely to develop it again on subsequent missions.

• Strabismus surgery is undervalued by Medicare, as evidenced by a surgical cost analysis underscoring the need for fair compensation to address the growing shortage of strabismus surgeons and ensure patient access to care.

• For acute acquired comitant esotropia, augmented medial rectus recession surgery achieved significantly better long-term eye alignment, fusion, and quality-of-life outcomes than botulinum toxin A injection.