Posterior scleritis is seen commonly in middle-aged women, associated with mild ocular congestion, globe tenderness, and varying amount of vision loss. We report an uncommon presentation of posterior scleritis in a young male child. The patient presented with decreased vision and extraocular and intraocular inflammatory signs in the left eye. Fundus examination showed disk and macular edema with a T-sign on B-scan ultrasound. The patient showed good response to oral steroids with resolution of inflammation and recovery of vision.