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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)526 viewsFalse color00000
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Macular Telangiectasis (MacTel)617 viewsFalse color00000
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Macular Telangiectasis (MacTel)436 views00000
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Macular Telangiectasis (MacTel)470 views00000
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Macular Telangiectasis (MacTel)550 viewsFAF shows decrease macular pigment00000
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Macular Telangiectasis (MacTel)547 viewsFAF shows decrease macular pigment00000
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Macular Telangiectasis (MacTel)451 views00000
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Macular Telangiectasis (MacTel)505 views00000
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Macular Telangiectasis (MacTel)514 views00000
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Macular Telangiectasis (MacTel)647 views00000
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Macular Telangiectasis (MacTel) - Blue Reflectance572 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 Reflectance486 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.