Introduction: This is a case of a 26-year-old female who presented to the medicine OPD with fever, chills, periorbital swelling of the left eye associated with discharge. The patient had a history of blood transfusion and severe anaemia (Hb-2.8gm%). Visual acuity in the right eye was 6/6 with a normal examination. The visual acuity in the left eye was no PL with no retinal glow. Result: There was the presence of bloody discharge, lid oedema, ecchymosis, chemosis, subconjunctival haemorrhage, hyphema in the anterior chamber, corneal melting and uveal tissue prolapse. MRI Brain and orbit was suggestive of Phthisis Bulbs of the left globe with tuberculoma with ventriculitis with ependymitis. Treatment given was blood and platelet transfusion, iv antibiotics, injection dexamethasone and anti-tubercular drugs. Evisceration of the left eye was done. Conclusion: Manifestations of tuberculosis in the eye are varied. No part of the eyeball is immune to tuberculosis except the lens. Timely intervention and treatment may help retain the eye. With the advent of keratoprosthesis surgery, early treatment may help save the eye.