Background: Ocular tuberculosis can show a variety of different clinical presentations and occasionally patients initially present with ocular symptoms that are mistaken for ocular tumors or other inflammatory conditions.
Case Report: An unusual case of a patient with ocular tuberculosis who initially presented with exophthalmos combined with restriction of eye movement is reported. Based on the patient’s initial presentation, a presumptive diagnosis of ocular tumor was made. After aggregating analysis, the patient’s inflammatory
appearance of the hemogram, chest x-ray, tuberculin test, ESR, and response to treatment with antituberculosis medications, this patient was finally diagnosed with ocular tuberculosis.
Conclusions: Ocular tuberculosis can occasionally simulate ocular tumor. Confirmed ocular tuberculosis should meet either clinical case criteria or laboratory diagnostic criteria. Clinicians should be aware of these findings when treating such patients.

Keywords: Tuberculosis, Diagnosis, Tumour