Infectious keratitis after keratorefractive surgery, although extremely rare, has the potential to be sightthreatening. Key to the management of post-operative bacterial and fungal keratitis is early diagnosis, identification of the causative organism with scrapings, irrigation with clinically appropriate antimicrobials, and subsequent topical antimicrobial drop administration. In non-responsive cases, confocal microscopy or polymerase chain reaction may aid in the identification of the causative organism to guide antimicrobial management.