This is a photo of me and my keratoconus patient, Jessica. Jessica has an advanced case of keratoconus in both eyes. 2 weeks ago Jessica traveled to Miami from Santiago, Chile for her annual vision examination. One year ago, we fit Jessica with GVR Scleral lenses. For a few weeks prior to her return visit with us, Jessica was having some comfort and vision issues with one lens. During Jessica’s visit with us, we refit her right eye with a new GVR Scleral lens. Essentially, Jessica’s eyes changed very little over the last year, however, with her new scleral lenses, Jessica is able to see clearly (20/20 in each eye) and comfortably once again. Prior to Jessica’s initial visit with us, both of Jessica’s eyes were red and very uncomfortable. Over many years, Jessica tried unsuccessfully to wear a variety of soft and hard contact lenses. Before visiting us for the first time, Jessica was told that if she was not able to wear scleral lenses she would need to have corneal transplant surgery in both eyes. When Jessica recently returned home, both of her eyes were clear. I expect Jessica to be able to wear her scleral lenses comfortably for many years to come. Jessica will never need to undergo corneal transplant surgery.