This is a photo of me standing next to my keratoconus patient Rachel. Rachel has been my patient for about 18 years. She has an advanced case of keratoconus which is significantly more pronounced in her left eye. 7 years ago, Rachel underwent Collagen Cross linking in both eyes. At the same time, we fit both of Rachel’s eyes with GVR Scleral lenses. Rachel’s vision with these lenses is 20/20 in each eye. Without her lenses, Rachel’s vision is about 20/800. Conventional contact lenses are not able to provide Rachel with functional vision. Rachel is able to wear her GVR lenses comfortably for all of her waking hours. For the past 7 years, Rachel’s eyes have been stable and she is still wearing the same lenses I fit her with 7 years ago. Rachel will be able to wear her scleral lenses for many more years and will never need to undergo corneal transplant surgery.