Bacterial keratitis is reported more frequently in the literature with the use of extended-wear contact lenses. This report describes a case of bilateral simultaneous pseudomonas keratitis in an elderly patient wearing extended-wear contact lenses for correction of myopia. The lenses were not properly disinfected prior to the development of the corneal ulcers. When bacterial keratitis is suspected with the use of extended-wear contact lenses, prompt diagnosis and treatment are necessary. Appropriate microbiologic testing of the contact lenses, lens cases, and lens solutions should also be undertaken.