P-24 Long-term outcomes of a novel artificial endothelial replacement membrane

Despite a regular corneal surface his vision was limited by a very large angle alpha affecting topography.This was successfully managed with a scleral contact lens.A second case of high angle alpha affecting topographic outcome is also presented.Summary Where possible angle alpha/kappa should probably be evaluated prior to anterior keratoplasty.Current expert opinion on this assessment technique as well as graft centration is sought.