Science and Education Publishing American Journal of Medical Case Reports 2374-216X 4 1 2016 1 7 A Successfully Treated Case of Aspergillus Flavus Fungal Keratitis Caused by Stale Bread Corneal Injury 5 7 EN Tariq Debasi Anterior segment and refractive surgery consultant, Head department of ophthalmology, King Abdulaziz Medical City Abdulkareem M. Al Bekairy Abdulmalik M. Alkatheri Yazeed A. Al-Ferayan Abdullmajeed S. Al-Fakhri Thamer Alenazi AJMCR2016412 10.12691/ajmcr-4-1-2 2015 7 21 2015 10 24 2016 1 5 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.