With the ongoing COVID-19 pandemic, although less than 15% of affected patients will require hospital admission [3], a significant number of these will require ventilatory support. As part of the management of acute respiratory distress syndrome, patients whose lungs are mechanically ventilated receive neuromuscular blocking drugs and the resultant reduction in orbicularis muscle tone, combined with patients being nursed in a prone position, will increase patients’ risk of exposure keratopathy. Training ICU staff in recognising risk factors and applying preventative measures, particularly during these challenging conditions, is paramount in order to reduce the risk of long-term sequelae from exposure keratopathy. We have designed a training tool and a simple protocol (online Appendix S1) for eye care in sedated or mechanically ventilated patients, based on the RCOphth guideline [2]. These are available via the Microguide smartphone application under the Moorfields Eye Hospital, Pandemic Eye Care Guide. In a joint effort between ophthalmologists and intensivists, this protocol is being implemented in a number of London hospitals providing care for patients with COVID-19.