This young woman was diagnosed with an advanced case of keratoconus in both eyes over 10 years ago. She had visited a number of eye doctors over the years including eye doctors and contact lens specialists at a world famous eye institution. When she could not have her vision restored she was told that her only option would be to have corneal transplant surgery. This patient first visited our office 10 years ago. The lenses she was wearing kept popping out of her eyes and were scarring her corneas. We fit this young woman with GVR lenses on her initial visit. Over the years we had to make minor changes to her specialty lenses but she was always able to wear her lenses all day comfortably with clear comfortable vision. We recently fit her with a newly designed GVR Scleral lens which has improved her vision beyond what she was able to achieve before. The corneal scarring has improved over the years with her lenses as has her ocular comfort. Since we first met, this young patient has finished college, gotten married and now has 2 beautiful children and a career. This patient will never need to undergo corneal transplant surgery.