This patient was diagnosed with keratoconus 20 years prior to visiting our practice. She was first diagnosed in India and while there visited a number of doctors who prescribed gas permeable lenses. Over many years she wore lenses that rubbed against the apex of her corneal cones which caused extensive scarring and pain. In 2009, this patient underwent Corneal Cross linking. The purpose of Corneal Cross linking was to stabilize her corneas. In 2011, we fit this patient with GVR Scleral lenses which have provided her with clear, comfortable vision and all day lens wear. She recently visited our office for her yearly examination. Both corneas have remained stable and the scarring on her corneas is much less pronounced than when she first came to see us. This young woman will always be able to see clearly with her lenses and will never need to undergo corneal transplant surgery.