Congenital ocular toxoplasmosis diagnosed in adolescence: A case highlighting diagnostic gaps

This case report describes a 15-year-old male who presented to the clinic for the first time with long standing unexplained reduced vision of the right eye. Through a comprehensive ophthalmic evaluation, direct ophthalmoscopy revealed a well-demarcated chorioretinal lesion in the macular region of the right eye and in the peripheral retina of the left eye. The case illustrates the diagnostic challenges of identifying ocular toxoplasmosis when external signs are minimal or absent and emphasizes the critical role of a thorough ophthalmic evaluation in detecting underlying chorioretinal pathology. Early recognition of such lesions is essential to appropriate management, prevention of further vision loss, and timely referral for specialized care.