ABSTRACT
This is a case of 50 year-old Saudi lady complaining of progressive loss of vision in both eyes, associated with a constant, steady headache. She was referred to King Fahd Hospital of the University for evaluation. A computed tomography scan and magnetic resonance imaging were done and a craniotomy was planned. A biopsy from the left optic nerve showed evidence of a granulomatous lesion, which proved to be tuberculosis. In this report, we discuss the clinical and pathological findings in a case of tuberculosis of the optic nerve. A review of the literature indicates that this is the first report of its kind from this area. With the resurgence of tuberculosis throughout the world, this rare aetiology as a cause of visual loss should be kept in mind