To the best of our knowledge. this is the second reported case of Acanthamoeba keratitis (AK) as a result of scleral lens use and the first case of AK associated with Maxim scleral lens use (Accu-Lens. Inc. Lakewood. https://www.diegojavierfares.com/mega-pick-SA439-EF75-5-x-7-Embroidery-Machine-Hoop-mega-pick/