A return to contact lens practice after the COVID-19 lock down requires an enhanced awareness of the risks and possibilities of contamination in the practice, and how to manage these. Patients can be triaged via a survey and telehealth before the appointment, and then precautions taken to assure distancing and protection as far as possible during their time in the practice. Staff need to be trained in new procedures and protected from exposure via screens and masks. Regular, rigorous cleaning of surfaces and equipment needs to be carried out between appointments and re-useable diagnostic lenses will need to be disinfected according to rigorous guidelines. However, with adequate guidance and care, contact lens wear continues to be a good option for patients.