Deep Anterior Lamellar Keratoplasty (DALK) retains the patients endothelium and hence is considered superior to a Penetrating Corneal transplant (PK) from the immunology point of view. However, patients undergoing DALK must also be advised to report early when symptoms of Redness, Sensitivity to light, Vision change or Pain (RSVP) occur. This patient who was 1 year post DALK, reported with redness for one month. Multiple loose and broken sutures are noted, with ocular surface epithelial changes. There is no infection, but early vascularization is noted in the deep stroma in the superior quadrant. Early suture removal, antibiotics to avoid infection, and steroids to reduce the inflammation and vascularization are required.