This surgical video demonstrates a penetrating keratoplasty (PK) performed following severe fungal keratitis, resulting in significant corneal scarring and structural compromise. The procedure includes meticulous iris repair to address anterior segment abnormalities caused by the infection, while preserving the patient’s natural crystalline lens. The case highlights key surgical steps, including trephination, graft suturing, and anterior chamber reconstruction, making it a valuable educational resource for corneal surgeons and ophthalmology trainees.