This patient had corneal transplant surgery in both eyes a number of years ago. For many years he was unable to see clearly with either eye glasses or contact lenses. Two years ago his left eye rejected the transplant and he needed to undergo another corneal transplant operation. Earlier this year we fit this patient with GVR gas permeable scleral lenses which are allowing him to see 20/25 in his right eye and 20/30 in his left eye. He is able to wear both lenses comfortably all day with stable vision. Because his left eye underwent 2 corneal transplant surgeries, he will need to be monitored very carefully with periodic examinations for several years to come.