BACKGROUND: Fungal keratitis is relatively rare in children. This study aimed to analyze the clinical characteristics and treatment outcomes of pediatric fungal keratitis. METHODS: A retrospective review of medical records was conducted for children (aged <
18 years) diagnosed with fungal keratitis from 1996 to 2021. Demographic features, etiology, clinical characteristics, and treatment outcomes were collected. RESULTS: Forty-seven children (48 eyes) were included (31 males, 16 females). The mean age of onset was 11.8±4.1 (range: 1-17) years. The leading cause of fungal keratitis was trauma including dust or ocular foreign body (29.2%) and vegetative matter (25.0%). CONCLUSION: In the current study, ocular trauma was the leading cause of fungal keratitis in the pediatric age group.