Posterior uveitis is an uncommon cause of severe visual loss in the paediatric population, usually secondary to macular scarring or secondary glaucoma (1-3). Infectious aetiologies, such as toxoplasma and toxocara, are the most common and are usually associated with classical fundal examination findings (1, 3). Non-infectious causes are less common and can be a diagnostic challenge. We report an atypical presentation of an uncommon disease, particularly so in a paediatric population, with the potential for severe visual impairment if not diagnosed early and managed aggressively.