SH Moon, et al. PTOSIS WITH TUBERCULOUS MENINGOENCEPHALITIS Fig. 3. Fundus photograph of the right eye (a) A solitary yellowish choroidal granuloma was noted in the right eye at initial presentation. (b) The choroidal tuberculoma had decreased and scar formation was observed in the right eyeafter three months of added treatment. Fig. 4. Nine cardinal movements of eyeballs (a) Upper lid dropping and up gaze limitation was noted in the left eye at second presentation. (b) Upper lid dropping and up gaze limitation were much improved in the left eye after 3 months of treatment supplementation. Ophthalmic pathologies have also been reported, and its complications include; conjunctivitis, third or sixth nerve palsies, choroidal tuberculoma, homonymous hemianopia, and nystagmus.3 Involvement of the oculomotor nerve can occur due to basal meningitis due to the long course of this nerve in the base of brain, due to vasculitis in the arteries supplying the midbrain region, or due to a tuberculoma situated in the midbrain region.4 Choroidal tuberculoma is the most common ocular manifestation after bacillus dissemination via the blood stream. Choroidal tubercles are frequently 203