This is a photo of me with my patient Robert. We recently diagnosed Robert, age 80, with keratoconus. According to Robert, he has always had poor vision. Over the last few years he has noticed that his vision was fluctuating. Another eye doctor here in Miami felt that Robert’s symptoms and history did not make sense and decided to refer Robert to our office. Earlier this year we examined Robert at which time a diagnosis of keratoconus was made. At that time we fit Robert with GVR Scleral lenses which have allowed him to see clearly and comfortable once again. Today, when Robert came in for his follow-up vision examination he was able to see 20/25 and a few letters in the 20/20 line. I asked Robert how he felt about his improved vision, he responded that his vision was now “the very best” that he has ever had. It has been my experience that it is very rare to diagnose keratoconus in a patient who is 80 years old, but I have seen this happen. I, along with my assistants and student doctors are extremely happy for Robert.