My foray into pediatric keratoprosthesis began in 2003. I was managing a challenging patient, a young boy aged 4 years with severe herpes simplex keratitis. After 3 penetrating keratoplasties, each one plagued by nonhealing epithelial defects with subsequent corneal melting, I discussed the possibility of a Boston Keratoprosthesis (KPro) with Claes Dohlman. Cornea aficionados will need no introduction to Dr. Dohlman, who has spent decades developing and improving the Boston KPro. Claes was skeptical about placing a KPro in a child. He was getting ready to leave Boston for his annual summer sojourn to Sweden. I asked if he would at least think about my suggestion while enjoying his holiday. Claes, prescient as ever, replied in his characteristic Swedish accent, “I will think about it in my nightmares.” I did not end up placing a KPro in my patient; instead, we performed a near total permanent tarsorrhaphy, which stabilized his eye at the expense of his visual acuity