This chapter explains more than 20 clinical presentation of fungal keratitis reported in the form of clinical pictures. The clinical presentations include early, middle and final state of ulcer presentation explained with high quality slit lamp photographs. This chapter greatly helpful to Ophthalmologists and they can easily diagnose by comparing these common an unusual fungal keratitis clinical presentation. Typical feather margins, broad feathery infiltrate of Fusarium keratitis, Keratitis with endothelial exudates, central thick plaque with large Hypopyon in the anterior chamber, unusual presentation of satellite lesions. An unusual fungal corneal ulcer extending up to the limbus and spreading peripherally towards the temporal aspect, the anterior chamber is filled with exudates. Fungal keratitis due to dematiaceous fungi (Bipolaris, Curvularia, Lasiodiplodia) have typical clinical presentation includes pigmented corneal scar with ulcer, iris prolapse in peripheral fungal ulcer, black mass at the inferior edge, pigmentation appear as leopard like brown sport of ulcer. Fungal corneal ulcer involving nearly the entire cornea, poor prognosis presentation would require a penetrating keratoplasty. Natamycin deposits (white plaque like structures in the center). An interesting case report and clinical presentation of simultaneous bilateral fungal keratitis caused by different fungi (Curvularia and Aspergillus) explained with detailed notes and photographs.