This is the first in a series of five blog posts that address risks, opportunities, and strategies in a new era of eye care. 2020 was supposed to be a great year for eye care—after all, 20/20 vision is one of the common, better-known goals of ophthalmic practice. Instead, it turned out to be a year that could be described as unpredictable—at best. Eye care practices experienced a supply-versus-demand roller coaster. Conditions in the ophthalmic marketplace varied greatly during the past year, depending upon geographic region and local severity of the COVID-19 pandemic. Eye care subspecialties that rely heavily upon elective surgeries and procedures experienced the jolting reality of business risk. During the worst times of the pandemic, most eye care practices and ambulatory surgery centers (ASCs) closed their doors, except for urgent and emergent cases.