This is a photo of me with my patient Arturo, who visited our office from San Miguel de Allende, Mexico. Arturo was diagnosed with keratoconus in both eyes over 40 years ago. 40 years ago, Arturo underwent corneal transplant surgery in his right eye. His left eye has an advanced case of keratoconus. Over the past 40 years, Arturo was unable to have functional vision with eyeglasses and as a result has been wearing hard lenses. Arturo was fit many times with a variety of hard lenses which were very uncomfortable and often painful to wear. Often, Arturo’s lenses would pop out of his eyes. When I first met Arturo several months ago, his visual acuity with his hard contact lenses was 20/30 in his right eye and less than 20/200 in his left eye. Several months ago, we fit Arturo with GVR Scleral lenses which have allowed him to see clearly (20/25 in each eye) both at distance and close up and comfortably with all day lens wear. Before coming to Miami, Arturo was fearful that he would need a corneal transplant in his left eye. After evaluating Arturo on a number of occasions over the last few months, I feel that he will be able to wear his scleral lenses with clear, comfortable vision for many years to come. Arturo will never need to undergo corneal transplant surgery in his left eye.