This patient has a very advanced case of keratoconus in both eyes and visited us from Buenos Aires, Argentina seeking help. Back home he was fit with small gas permeable lenses which kept of popping out of his eyes and causing him great distress. Because his left cornea is so much more profound, he gave up wearing any type of contact lens on his left eye and functioned with only one contact lens. In Argentina, he was given only 2 choices: hard contact lenses or corneal transplant surgery. In 2013, both of this patients eyes were fit with GVR Scleral lenses. With these lenses he is able to see 20/20 with his right eye and 20/25 with his left eye. This past week he went through a yearly examination in our office. Both of his eyes and corneas have remained stable and he has been able to maintain stable, clear and comfortable vision with all day lens wear. In my opinion, he will never need to undergo corneal transplant surgery.