Ocular leptospirosis is a relatively uncommon yet important complication of leptospirosis, a bacterial infection caused by Leptospira species. While leptospirosis is widespread in tropical regions, its ocular manifestations are often overlooked. This article provides an overview of ocular leptospirosis, including its clinical presentation, pathophysiology, diagnostic approach, treatment strategies, and challenges in management. Early recognition is crucial to prevent vision loss and other serious complications, particularly in endemic areas.