You might want to think about pulling the digital signal out to coax in your Mac. Since the signal is identical you can pretty much just take the data line going into the optical module out to some coax or a custom coax jack. You should impedance match to 75Ω with a pulse transformer, but this is not strictly necessary. This would be the best way to get coax out of the Mac, but as it requires modifying the computer, it might not be feasible for you.
Another option would be to build or purchase a device that accomplishes the same goal, but with the optical as input instead. You'd need a 5V power supply, optical receiver module, and some kind of buffer as a line driver. Really a rather trivial circuit, and likely what you've already got. This might introduce some (possibly significant) jitter into the system, but shouldn't cause a significant increase in bit-error rate. It's extra, unnecessary conversion though. If you don't have one with an impedance matched output you might improve things slightly by adding the pulse transformer, but I imagine this would only make a difference for poor transmission lines or receivers.
A more complicated option would be to do something similar, but use an SPDIF transceiver in the circuit instead of just a plain buffer to lock the signal and regenerate it. This would hopefully reduce the jitter problems, but it's a lot more complicated to implement and I don't know of any commercial products. A chip like CS8427 would be appropriate for this.
There are USB -> SPDIF interfaces available for sale at various places. They consist of a USB receiver like the Burr Brown PCM2707 and an SPDIF encoder/transmitter like the CS8406. Check out the
UD-10 that's inexpensive and seems to be well liked as a transport. I think you'll find that the jitter will be much worse than just converting the TOSLINK to coax, however, as USB doesn't provide any good way to clock the signal, it's even worse than SPDIF in this respect.
In any of these cases I don't see how the bit-error rate would ever be significantly increased, jitter would be the main concern with any of these options. The best of them would be to pull the logic directly off the sound board, followed by running it through a good quality receiver to reclock and regenerate it.