This patient visited our office from Guatemala. In 1990 he underwent 2 separate radial keratotomy (RK) surgeries in an attempt to eliminate his myopia. While his vision was improved for a period of years, eventually his vision began to deteriorate. When his vision could not be corrected any longer with eyeglasses or contact lenses, he visited a number of corneal specialists both in his country and in the United States for help. After being told that his only option would be corneal transplant surgery, he visited our office in 2008 for another opinion. If you look carefully at the attached images, you will see that his RK incisions are still open after all these years. The cross sectional corneal image shows a GVR Scleral lens over his cornea with an open incision that nearly perforated the cornea. Since 2008 he has been wearing his GVR Scleral lenses comfortably with all day wear and with 20/20 vision without any visual distortions. This patient will never need corneal transplant surgery.