Eye care is a vital yet often under-prioritised aspect of managing unconscious or sedated patients in the Intensive Care Unit (ICU). Without appropriate precautions, patients are at risk of serious ophthalmic complications that may lead to long-term vision impairment or permanent blindness. This article outlines the best practices for eye assessment and protection, highlights common ICU-related ocular conditions, and provides recommendations for prevention, treatment, and when to seek ophthalmology input.