Orbital tuberculosis (TB) is an extremely rare condition in North Amer
ica. The authors present a case of TB involving the orbit, lower lid,
and zygoma and review pertinent literature regarding orbital TB. Follo
wing excision of the orbital lesion, the patient responded well to ant
i-TB therapy. With the reemergence of TB associated with AIDS, orbital
TB may be a more frequent presentation and should be considered in th
e differential diagnosis of inflammatory orbital disease.