This patient underwent LASIK in 2002 in Brazil. His vision remained good for about 4 years after which his vision started to gradually decline. When he returned to his doctor he was told that he had keratoconus. He eventually underwent Collagen Cross-Linking which he felt made his vision worse. For many years he was unable to maintain clear stable vision with either contact lenses or eyeglasses. Earlier this year we diagnosed this patient with post-LASIK ectasia. In addition, he has a condition known as epithelial ingrowth where cells from the outer corneal layer get beneath the LASIK flap where they do not belong. We fit this patient with GVR Scleral lenses which are now providing him with clear, stable, comfortable vision with all day wear in different light conditions. He will need to be monitored periodically to make sure that the epithelial ingrowth does not progress.