Radial Keratotomy on Transplanted Cornea now 20/30 with GVR Scleral Lens

What was the surgeon thinking when he did this surgery? What you see in this photo is an eye with a transplanted cornea that later underwent Radial Keratotomy surgery. For many years after, this eye was legally blind since no spectacle lens or contact lens was able to provide this patient with functional vision. Eventually this eye was fit with a scleral lens which is allowing this patient to see 20/30 with comfortable vision with this eye.