This is a photo of me standing next to our post-LASIK patient Jorge on my left. On the extreme left is our student extern Amanda Golchin and on the right our student extern Jenna Adelsberger. About 13 years ago, Jorge underwent LASIK surgery in both eyes. 3 years later both of Jorge’s corneas became extremely distorted which was diagnosed as post-LASIK corneal ectasia. It was suggested to Jorge that the best way to correct the distorted corneas was to have Intacs surgery. Intact are plastic rings that are inserted into the center of the cornea and are intended to remove or eliminate the corneal distortion. Jorge elected to have this done in his left eye only. Over the ensuing years Jorge was fit with a variety of eyeglasses and contact lenses none of which provided Jorge with functional vision. Jorge first visited our office about 7 years ago. It was at this visit that we fit Jorge with GVR Scleral lenses. With the scleral lenses Jorge was able to achieve clear (20/20) comfortable vision for the first time in many years. It was also at this visit that I noticed crystal formation around the inferior Intacs plastic ring. Because this eye was quiet and Jorge has no issues with comfort with this eye we decided to just watch and monitor Jorge’s eyes and vision. The first ocular photo shows Jorge’s left eye with the Intacs taken 7 years ago. Look carefully and you can see the crystal formation in this photo. About 3 years ago, the inferior portion of Jorge’s left cornea became inflamed with blood vessel growth over and around the lower Intacs ring. The 2nd ocular photo shows the inflammation in this eye. It was at this time that surgery was done to remove the lower Intacs ring in this eye. For the past 3 years, Jorge has continued to wear his scleral lenses with excellent vision (20/20 in each eye) and all day comfortable lens wear.