Case 21
History:  This young man was referred by the optician because of a right pigmented lesion next to his optic disc. Visual acuity was normal in both eyes and the patient was in good health (epilepsy may be present in congenital toxoplasmosis). Fundoscopy revealed a chorioretinal scar with chorioretinal atrophy and hyperplasia of the retinal pigment epithelium. The feature was consistent with congenital toxoplasma chorioretinitis. Complications include reactivation with posterior uveitis and subretinal neovascular membrane causing visual distortion. As this patient was asymptomatic no follow-up was arranged but he was advised to contact the clinic should he experience any significant visual disturbance.

An area of chorioretinal scar inferonasal to the right optic disc.
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