This 55YO female presented with 20/30 vision in her right eye and an asymptomatic colobomatous scar in her distal temporal macula. The left eye was normal.
We felt this lesion most likely represented an inactive toxoplasmosis scar.
Learning Points:
For a great discussion on how to differentiate these infectious macular colobomatous lesions (congenital toxoplasmosis, Zika, and cytomegalovirus) from inherited dystrophies, see Kumar and Mahalingam, AJO 2019;200;47-56.
