This document provides an overview of recent equity market performance and trends, including: - Major US indices were largely flat in Q3 but pulled back from peaks in September due to geopolitical tensions. - Healthcare and utilities sectors outperformed while energy and industrials underperformed year-to-date. - Biotech and medtech sectors have significantly outperformed the S&P 500 over the past 10 and 5 years. - Ophthalmology has been an attractive area for M&A and biotech IPOs in recent years.