This is a photo of Ignacio, a patient with an advanced case of keratoconus, who visited our office from Santiago, Chile recently. I am standing on Ignacio’s right. Our student extern, Jenna Adelsberger, in on Ignacio’s left side. Ignacio first visited our office 2 years ago at which time we fit both of Ignacio’s eyes with GVR Scleral lenses. Prior to visiting our office, Ignacio had been wearing soft lenses which did not provide him with functional vision. In addition to keratoconus, Ignacio suffered a detached retina in his left eye due to an accident about 5 years ago. To repair the detached retina, a vitrectomy was performed on this eye. A vitrectomy involves the removal of the bulk of the interior contents of the eye (the vitreous) and replacing it with saline solution. After examining Ignacio recently a small change was made to his left scleral lens. With scleral lenses, Ignacio has 20/20 vision with his right eye and 20/30 vision with his left eye. In addition, Ignacio is able to wear his scleral lenses comfortably all of his waking hours. Prior to visiting our office 2 years ago, Ignacio’s corrected vision with his soft lenses was about 20/80. Without correction, Ignacio’s visual acuity is counting fingers at a 6 inch distance. I expect Ignacio to be able to wear his scleral lenses comfortably and with clear vision for many years to come.