Ocular examination of the right eye disclosed prominent iris vessels and posterior retinal arterial narrowing and venous dilatation with combined (arterial and venous) blood column segmentation (“boxcarring” appearance). Peripheral avascular retina with capillary dropout, arteriovenous anastomosis, and telangiectasia on the temporal side were noted. The left eye was slightly microphthalmic, with microcornea, a leukoma, and temporosuperior scleralization (Figure 2). Detailed left funduscopy was not possible because of media opacity. The patient's parents were thoroughly informed about management options, and it was decided that peripheral retinal laser ablation would be performed in the right eye and conservative management would be implemented in the left eye. Two weeks after photocoagulation, microvascular anomalies in the right eye had regressed.