This is a photo of me with our 2 student externs, Jenna Adelsberger on the left and Amanda Golchin on the right. Standing to my left is our patient Alejandro who visited us earlier this week from San Juan, Argentina. 28 years ago, Alejandro underwent 3 separate Radial Keratotomy (RK) procedures in each eye. This was followed by LASIK surgery in each eye 15 years ago. For over 20 years, Alejandro has suffered from poor vision that was not correctable with eyeglasses or contact lenses. Alejandro’s visual symptoms included halos around lights, glare, double vision and reduced vision in low light environments. In addition, both of his eyes are extremely dry which has caused him to have significant ocular pain over all these years. 2 years ago, we fit both of Alejandro’s eyes with GVR Scleral lenses which have provided him with clear (20/20) stable, comfortable vision with no distortions and with all day lens wear. Last year, Alejandro returned for his annual examination. Both of Alejandro’s eyes were stable and his vision remained the same. When I examined Alejandro this past week, he was still doing well with his scleral lenses and his vision and eyes had not changed. Because the scleral lenses vault over his dry, distorted corneas, Alejandro does not suffer any ocular pain from dry eyes. This is due to the liquid reservoir that exists between the back surface of the scleral lens and the front surface of his corneas. The 2nd photo is of Alejandro’s right cornea. Fluorescein dye was instilled on the front surface of the eye. Where there is a break in the cornea, the dye will get into the open wound and light up. Note the numerous incisions that were made into this eye which have not healed after all these years. I expect Alejandro to continue to wear his scleral lenses comfortably and with excellent vision for many years to come.