This 16 year old girl visited us from Grand Cayman Island. She has a very advanced case of keratoconus in both eyes with the left eye being significantly more advanced. When she first entered our office her visual acuity was less than 20/200 in her right eye. With her left eye she could only count fingers at a 6 inch distance. This young girl was diagnosed with keratoconus 2 years prior to visiting us. Several months prior to her visit she underwent Collagen Cross Linking. Over the last few years she was unable to tolerate either hybrid lenses or gas permeable contact lenses. We recently fit her with GVR Scleral lenses which are allowing her to see 20/20 with her right eye and 20/25 with her left eye. She has all day comfort with stable vision in all lighting conditions.