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52 year old woman. She was in for an eye examination and you noticed a problem. Sometimes when she is at work, and wearing her bifocals, she will close her left eye to see better. That started maybe 6 months ago. She was checked a year ago and everything was OK then. She has been diagnosed with borderline diabetes in 2014. She is now on metformin. •VA OD: cc20/25 NccJ2 •VA OS: cc20/40 PHNI NccJ5+2 The images show typical findings for MacTel. There is a blue reflectance image taken before and after light exposure that shows blanching or loss of the gray ring. This could be from bleaching of intraretinal chromophores as described in OSLI Retina.

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Macular Telangiectasis (MacTel)492 viewsFalse color00000
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Macular Telangiectasis (MacTel)569 viewsFalse color00000
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Macular Telangiectasis (MacTel)387 views00000
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Macular Telangiectasis (MacTel)433 views00000
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Macular Telangiectasis (MacTel)509 viewsFAF shows decrease macular pigment00000
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Macular Telangiectasis (MacTel)502 viewsFAF shows decrease macular pigment00000
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Macular Telangiectasis (MacTel)428 views00000
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Macular Telangiectasis (MacTel)470 views00000
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Macular Telangiectasis (MacTel)466 views00000
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Macular Telangiectasis (MacTel)612 views00000
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Macular Telangiectasis (MacTel) - Blue Reflectance535 viewsGray ring is more visible before the retina is exposed to bright light. This could be from bleaching of intraretinal chromophores if they are the source of the gray ring. 00000
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Macular Telangiectasis (MacTel) - Blue Reflectance460 viewsGray ring is less visible after the retina is exposed to bright light. This could be from bleaching of intraretinal chromophores if they are the source of the gray ring. 00000
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52 year old woman. She was in for an eye examination and you noticed a problem. Sometimes when she is at work, and wearing her bifocals, she will close her left eye to see better. That started maybe 6 months ago. She was checked a year ago and everything was OK then. She has been diagnosed with borderline diabetes in 2014. She is now on metformin. •VA OD: cc20/25 NccJ2 •VA OS: cc20/40 PHNI NccJ5+2 The images show typical findings for MacTel. There is a blue reflectance image taken before and after light exposure that shows blanching or loss of the gray ring. This could be from bleaching of intraretinal chromophores as described in OSLI Retina.