This patient was diagnosed with keratoconus at a very young age over 20 years ago. Over these years he had no functional vision in his left eye and blurred vision in the right eye which was partially corrected with conventional contact lenses. For over 20 years he was unable to find an eye doctor who could improve the vision in his left eye so that his 2 eyes could function together under binocular conditions. Doctors at a world famous eye institution told him that his only option was to have a corneal transplant in his left eye. Last year we examined this patient and fit him with GVR Scleral lenses. He now has clear, stable functional vision in both eyes with all day lens wear. His vision and eyes have been stable and I don’t feel that he will ever need to undergo corneal transplant surgery.