This patient (in center of photo) underwent a refractive surgical procedure known as Automated Lamellar Keratoplasty or ALK. The purpose of this surgery was to eliminate this patient’s hyperopia (far sightedness) and astigmatism. For 8 years this patient was satisfied with his post-surgical vision. After 8 years during a 3 week period his vision deteriorated to the point where eyeglasses and contact lenses were unable to provide functional vision. For several years this patient visited a number of doctors who told him that his only option was to have corneal transplant surgery. 3 years ago we fit this patient with GVR Scleral lenses. With these lenses he is able to see clearly (20/20) and comfortably with all day lens wear. In the photo with the cornea immersed in dye you can see the outline of the ALK cornea flap. The lower photo to the right shows a cross section of the post-surgical cornea with the GVR Scleral lens over it. The scarring from the ALK surgery is visible in the center of the cornea. With the GVR Scleral lens, this patient will never need corneal transplant surgery. By the way, the young lady to the right is our student extern (soon to be eye doctor) Tina Cheung.