Paecilomyces lilacinus was cultured from an ulcerated corneal transplant, sections of which, following surgical removal, revealed dense mycelial growth throughout the corneal remnant and penetrating Descemet's membrane. PAS-stained sections showed, in addition to the hyphae, numerous small, ovoid elements consistent with conidia of P. lilacinus. Infection apparently had spread to the transplant from the recipient's cornea. The fungal isolate proved resistant, in vitro, to amphotericin B, 5-fluorocytosine, and pimaricin, but sensitive to ketoconazole and moderately sensitive to miconazole. Following a second transplant and intensive antifungal therapy, the infection appears to have been eliminated.Paecilomyces lilacinus (Thorn) Samson 1974 is a common soil-dwelling mold which seldom has been associated with human disease. However, it is often found in tap water and is a notorious contaminant of sterile solutions, which largely accounts for the fact that the majority of infections by this species have occurred in connection with surgical procedures involving the eyes. The first reported case of endophthalmitis attributed to P. lilacinus resulted from an iridencleisis performed to alleviate glaucoma[10]. The eye was saved with the aid of amphotericin B injected subconjunctivally and into the anterior chamber, but vision was reduced to bare light perception. As second case followed cataract extraction [8]. The most extensive series of P. lilacinus infections in the United States occurred in 1975 [13], with 12 cases of endophthalmitis, all of them following cataract extraction, scattered throughout the country. In 11 of these a Luminex lens, and in the twelth a Rayner lens, had been implanted. P. lilacinus was isolated from the bicarbonate neutralizing solution of an unused Luminex lens package in association with some of the cases. In this series, according to O'Day [13], six eyes were lost and vision was seriously impaired in the remainder, therapy with amphotericin B and 5-fluorocytosine having proven ineffective. Subsequently, Miller et al. [12] reported that one of these eyes was salvaged and the fungal infection eliminated after surgery and treatment with several antifungal agents. Additional cases with ocular involvement comprised two of keratitis [3,6], one of which was