Best-corrected visual acuity was 20/200 OS. The examination showed edematous eyelids, congested and edematous conjunctiva, a corneal infiltrate with feathery margins involving a sutured corneal laceration, marked anterior chamber fibrin with hyphema, and a disrupted anterior lens capsule in the left eye. Vitreous opacity obscured a view of the retina, but on ultrasonography, dense vitreous opacities with associated posterior lens fragments and an attached retina were noted. A diagnosis of endophthalmitis, microbial keratitis, and retained posterior lens fragments was made. He underwent pars plana vitrectomy, removal of lens fragments, and intravitreal injection of 1 mg/0.1 mL of vancomycin, 2.25 mg/0.1 mL of ceftazidime, and 0.05 mg/0.1 mL of voriconazole. Voriconazole was included because of the suspicion of a fungal etiology based on the corneal appearance. The keratitis in the left eye was scraped and sent for culture, along with the aqueous and vitreous. Postoperatively, the patient was treated with prednisolone acetate, 1%, and topical amphotericin B. No growth was observed on the cultures from the aqueous and corneal samples. The vitreous specimen became culture positive after 4 days. A dematiaceous, black mold was identified as Curvularia species using growth and morphological characteristics. Initially, the inflammation was reduced but an increase was noted at 38 days. Clinical findings included reactivated keratitis with feathery margins, trace pigmented hypopyon, and vitritis (Figure 1). Corneal scraping with vitreous tap along with intravitreal injection of voriconazole was performed. There was no growth of fungus on culture from either specimen. The patient was treated with topical voriconazole and amphotericin B. A similar recurrence was noted again at 2 months. Cultures obtained from the cornea and vitreous were negative. Intraocular inflammation resolved with topical voriconazole, amphotericin B, and 200 mg of oral voriconazole twice a day, which was continued for 4 weeks. Five months later, the patient returned with symptoms of pain and redness. A diagnosis of microbial keratitis with corneal perforation was made for which the patient underwent therapeutic penetrating keratoplasty. Histopathologic analysis of the excised cornea showed acute inflammatory cells on the posterior corneal surface. Fungal elements were identified on periodic acid–Schiff stain and Gomori methenamine silver stains (Figure 2). After 2 months, allograft rejection occurred and the cornea became edematous. Visual acuity with aphakic correction at last follow-up (10 months) was 20/200 OD.