Happy with RK for 11 Years, then Struggling due to Declining Vision, Now 20/20 with GVR Scleral Lens

The patient in this photo underwent Radial Keratotomy (RK) surgery in both eyes in 1990. For 11 years he was very happy with his post RK vision. In 2001 his vision began to fail, requiring him to wear eyeglasses which needed to be changed quite frequently. As the years went by he needed stronger and stronger eyeglasses. Over a 14 year period he struggled with a variety of both soft and hard contact lenses which were not only very uncomfortable but provided him with unstable vision. When this patient first visited our office several months ago, he required over +10.00 diopters of spectacle correction to get him to see the 20/30 line with significant distortions. 6 weeks ago we fit this patient with GVR Scleral lenses. With his new scleral lenses this patient can see clearly (20/20) and comfortably with all day lens wear and without any distortions. In the photo below note the numerous RK incisions which remain open and unhealed to this day. I feel that this patient will be able to wear his scleral lenses comfortably with clear, stable undistorted vision for many years to come.