Presentation A 37-year-old Polish male presented with headache, myalgia, rash and reduced visual acuity. Diagnosis Measles was confirmed on day 5 via throat swab, complicated by ocular keratitis which was diagnosed by slit lamp exam using fluorescein staining. Treatment Once the diagnosis was confirmed, the patient received supportive medical treatment and topical treatment with six - hourly preservative free dexamethasone and sodium hyaluronate to both eyes was prescribed. Conclusion Measles cases have increased by 244% in Ireland1 remaining an important public health concern. This case illustrates the difficulty in diagnosis, ocular manifestations and serves to remind health care professionals that this potentially devastating disease has not gone away.