The 18 year old girl standing next to me has 2 separate, rare eye conditions when taken together: a high degree of hyperopia of about +14.00 diopters and keratoconus in both eyes. I have been taking care of this young girl since she was 8 years old. Without corrective lenses her visual acuity is less than 20/800 in each eye. When she was first seen we provided her with soft lenses which corrected her vision to 20/60 in each eye. Until recently she refused to let me fit her with a rigid lens. 2 years ago, when she went to get a driver’s permit (needed in Florida before a driver’s license) she failed the vision test. It was then that she returned to our office asking for lenses that would allow her to pass the vision test at the motor vehicle testing facility. We fit this young girl with GVR Scleral lenses which are allowing her to see clearly (20/25 in each eye) and comfortably once again with all day lens wear. At her recent visit with us, her corneas were stable and clear and her vision was the same and has not changed over the past 2 years.