A new and evolving epidemic of Fusarium keratitis associated with contact lens wear was found in Singapore. Physicians and eye care practitioners worldwide need to be aware of the likelihood of similar outbreaks emerging among contact lens wearers.

Patients with poorer baseline visual acuity or who had no preexisting eye disease reported more improvement in visual acuity in the operated eye. Several factors including no preexisting eye disease were associated with better final visual acuity and visual function scores.

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correctly diagnosed by CT scan have been described.6Ultrasonography has been advocated in view of its availability, low cost, and high detection rates. One study,3 using porcine eyes, reported an overall IOFB detection rate by ultrasound of 930/O compared with 40°/O by plain x ray. Significantly, Bryden et al's detection rate for Perspex was 96%. Localisation is, of course, less accurate and the technique may not be applicable in some acutely injured eyes.This case emphbsises the need for a combined approach using plain x ray, CT, and ultrasound in the complete assessment of a penetrating eye injury where an intraocular foreign body is suspected.