This 44YO male presented with 20/25 vision and a presumed inactive toxoplasmosis scar in the distal left macula. Although we do not have an OCT through this scar, it likely represents a colobomatous lesion.
This lesion somewhat resembles torpedo maculopathy, but the additional scar in the superior macula more suggests a prior inflammatory event.
Learning Points:
For a great discussion on how to differentiate these infectious macular colobomatous lesions (congenital toxoplasmosis, Zika, and cytomegalovirus) from inherited dystrophies like North Carolina Macular Dystrophy (NCMD), see Kumar and Mahalingam AJO 2019;200;47-56.
