This patient visited our office from Santiago, Chile. For many years she had been struggling with an advanced case of keratoconus in both eyes. When she first came to see us, she was wearing a gas permeable lens on her left eye only. This left lens gave her functional vision but was uncomfortable as it was rubbing on the apex of her cone. Her right cornea was so advanced that she could not tolerate any rigid contact lens. In an effort to avoid a corneal transplant in her right eye, she came to see us. Last week we fit both of this patient’s keratoconic corneas with GVR Scleral lenses. Now for the first time in many years she is able to see clearly (20/20 vision in both eyes) and comfortably with all day lens wear. Because these lenses do not touch her corneas but envelope both corneas in a liquid environment, her eyes will be comfortable and her vision stable. This patient will never need to undergo corneal transplant surgery.