IntroductionTuberculous meningitis (TBM) is a common manifestation of central nervous system tuberculosis. It is associated with primary infection, usually localized in the lungs with dissemination to the lymph nodes. The bacteria then travel through the bloodstream to the meninges, resulting in a high bacterial count and the formation of microtubercles. TBM develops when these microtubercles rupture. Vision loss is a disabling complication of tuberculous meningitis.[1]In developing countries, this infection is more prevalent among infants and toddlers, while in developed countries, adults are more commonly affected due to reactivation of dormant TB infections.Ophthalmic complications are common in TBM patients, including optic neuritis, optic atrophy, and papilloedema due to increased intracranial pressure. Vision impairment could result from the disease process or anti-tuberculosis treatment (ATT).[2]