• Tectonic DALK over tectonic DSEK Description: Patient with extensive eye history, having had urgent PKP elsewhere. Presents with failed PKP and perforation, previous history of multiple sututre related problems, hence tectonic DSEK was performed, with a view for subsequent elective DALK. Presents after DSEK with melting of old PKP button, hence urgent DALK over DSEK is performed. Subspecialty: Cornea / External Disease Level: Advanced Uploaded By: Abdo Karim Tourkmani