Purpose: To report a case of fungal sclerokeratitis caused by Metarrhizium anisopliae, which to our knowledge is the first reported case worldwide.
Methods: A 52-year-old woman presented from rural Australia with a 1-week history of ocular injection involving the right eye without associated pain. Her best-corrected visual acuity was 6/9 in the right eye and 6/6 in the left eye.