The author presents a unique case of unilateral corneal inflammation and infiltration of unknown etiology confined only to the posterior stroma. The 6 year old black female was brought to the clinic by her mother who noticed a milky-white area on the child's cornea becoming larger. Associated symptoms reported were transient redness and occasional mild pain of the right eye only. Remarkably, with the exception of a mild papillary reaction, there were no signs of inflammation. The white posterior stromal infiltrate was spreading centrally from the limbal junction 270ˇ around, not yet impinging on the central axis of vision. Treatment with topical steroids was implemented. The author will discuss differential diagnoses, including corneal stromal dystrophies, and management options. It is important to note that if similar cases were construed as dystrophies with no early medical intervention, the patient's visual prognosis may be guarded.