Objective: To report a case of fungal keratitis caused by 
Fusarium species. 
Result: A 57 year old man presented with painful blurring of 
vision of his left eye. There was presence of dry corneal ulcer 
with irregular borders, hypopyon and anterior chamber cell 
activity. An initial diagnosis of bacterial keratitis was made and 
was started on topical ceftazidime and topical ciprofloxacin. 
When corneal scraping revealed hyphae the diagnosis was revised 
to fungal keratitis and he was started on topical amphotericin B 
0.15%. He developed corneal toxicity due to amphotericin B and 
antifungal was changed to topical fluconazole 5%. His ulcer 
slowly healed with a final visual acuity of 6/36. 
Conclusion: Treatment of fungal keratitis remains a challenge 
and the use of topical anti fungal remains a mainstay. However 
the side effects of corneal toxicity secondary to the medications 
also needs to be given importance.