eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2016-01-07 4 1 5 7 10.12691/ajmcr-4-1-2 AJMCR2016412 article Tariq Debasi Debasit@ngha.med.sa 1 Abdulkareem M. Al Bekairy 2 3 Abdulmalik M. Alkatheri 3 3 Yazeed A. Al-Ferayan 4 Abdullmajeed S. Al-Fakhri 4 Thamer Alenazi 5 Anterior segment and refractive surgery consultant, Head department of ophthalmology, King Abdulaziz Medical City College of Pharmacy, King Saud bin Abdulaziz University for Health Sciences, Riyadh, 11426, Saudi Arabia Intern, King Saud Bin Abdulaziz University for Health Science, King Abdulaziz Medical City Infectious Diseases consultant, King Abdulaziz Medical City Fungal keratitis is difficult to treat that can result in corneal blindness requiring penetrating keratoplasty and in fungal endophthalmitis. We report a case of fungal keratitis following a recent eye trauma by stale bread particle. Ophthalmological and Microbiological investigation revealed a fungal keratitis with aspergillus flavus. The case was successfully treated with oral antifungal (voriconazole), and combination of topical antifungal medications. The patient responded well to the antifungal treatment and gain 20/20 vision with complete resolution of the fungal keratitis and absence of recurrence. Early presentation and diagnosis are the key factor toward successful management of fungal keratitis. http://pubs.sciepub.com/ajmcr/4/1/2/ajmcr-4-1-2.pdf keratitis asperigillus eye trauma amphotericin B