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Ocular tuberculosis (TB) is a form of extrapulmonary disease that can occur in isolation or along with a pulmonary or an extrapulmonary focus. Clinical manifestations are caused by nonresolving inflammation that results from a dynamic balance between protective immunity and destructive pathology. The disease can affect any part of the eye, from the conjunctiva to the optic nerve. Despite recent revolutionary advances in diagnostic technologies, confirming the etiology remains challenging. The specific challenge lies in procuring fluid or tissue samples for laboratory confirmation. When an appropriate treatment is initiated, inflammation starts regressing promptly. Early diagnosis and therapy are most essential to prevent recurrences.