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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)471 viewsFalse color00000
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Macular Telangiectasis (MacTel)523 viewsFalse color00000
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Macular Telangiectasis (MacTel)364 views00000
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Macular Telangiectasis (MacTel)412 views00000
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Macular Telangiectasis (MacTel)470 viewsFAF shows decrease macular pigment00000
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Macular Telangiectasis (MacTel)459 viewsFAF shows decrease macular pigment00000
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Macular Telangiectasis (MacTel)369 views00000
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Macular Telangiectasis (MacTel)444 views00000
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Macular Telangiectasis (MacTel)431 views00000
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Macular Telangiectasis (MacTel)579 views00000
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Macular Telangiectasis (MacTel) - Blue Reflectance482 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 Reflectance440 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.