The COVID-19 pandemic is having a devastating impact on people, communities and economies, including health care and eye care. In this issue, we offer guidance and practical advice on adapting eye services, deciding which patients to see, personal protective equipment (PPE) and cleaning & disinfection. Learn how to make your own face shield and hand sanitiser, be inspired by case studies from eye health professionals around the world, and update yourself on the latest evidence about the disease and the virus causing it.