This young man was diagnosed with keratoconus about 10 years ago. Both of his corneas have become increasingly more distorted and pronounced over the years. Last year, in an effort of avoid needing corneal transplant surgery, he underwent Collagen Cross-linking in both eyes. The keratoconus in his left cornea progressed to the point that the innermost corneal membrane ruptured causing liquid from inside the eye to enter the center of the cornea. This condition is called “hydrops”. Note the cloudy appearance in the photo below. This is due to the hydrops. This patient’s vision cannot be corrected with eyeglasses or conventional contact lenses. Earlier this year we fit this patient with GVR Scleral lenses. With these lenses, this young man can see clearly and comfortably with all day wear. Next month, this patient will be entering medical school. I expect him to continue to do well with his scleral lenses. He will never need to undergo corneal transplant surgery as his corneas have stabilized and have remained clear.