An 8-year-old female presented with progressively worsening vision in the left eye over a 2-week time period. She is otherwise healthy and has a past ocular history of accommodative esotropia and amblyopia in the left eye, treated with hyperopic spectacle correction. On presentation, her vision was 20/20 in the right eye and 20/200 in the left eye with a moderate 2-3+ left afferent pupillary defect (APD). Anterior segment examination was normal. Dilated fundoscopic examination of the posterior pole of the left eye is shown in this photograph.