Old Case of Toxoplasmosis with Associated Vasoproliferative Tumor

This 50 year-old male was referred for evaluation of the left eye. He reported poor vision in the eye since he was a child. His left eye visual acuity was 20/400. He had toxoplasmosis scars in each eye (yellow arrows). The peripapillary scar in the left eye (frame B) was associated with optic disc pallor suggesting optic nerve damage at the time of the primary infection resulting in poor vision. In addition, the left eye also revealed a vasoproliferative tumor (red arrow). This form of tumor is a vascular inflammatory response to scarring in the retina. Heavy lipid exudates (blue arrows) obscure an adjacent toxoplasmosis scar from which the tumor arises. Observation was recommended.