The woman in the photo has suffered loss of vision due to an advanced case of keratoconus which was diagnosed over 25 years ago. For many years she was unable to obtain functional vision with either eyeglasses or contact lenses. About 8 years ago she underwent Intacs surgery in both eyes in an attempt to improve her vision. Intacs are small plastic rings which are surgically inserted into the center of the cornea in an attempt to smooth out the corneal surface. In the case of this patient, the Intacs did not work out well. A year after undergoing Intacs surgery, these plastic rings were removed due to an inflammatory response in her corneas. She then underwent a Collagen Cross linking procedure which is designed to strengthen her corneas and to stabilize them. None of these procedures improved her vision. 6 years ago this patient visited our office for a comprehensive examination. It was at this visit that we fit her with GVR Scleral lenses. With her GVR lenses, this patient has been seeing clearly and comfortably with all day lens wear. Her corneas are stable as is her vision for the past 6 years.