Fig. 2

Clinical and imaging findings in a young patient presenting with bilateral non-proliferative type 2 macular telangiectasia (MacTel): These images belong to a 36-year-old diabetic female who presented to the retina clinic with blurred vision and visual acuity of 20/30 in both eyes. A, B Color fundus photographs of the right and left eye obtained with the Multicolour® imaging technology on the Spectralis machine (Heidelberg Engineering, Germany) demonstrating the typical perifoveal greying and loss of retinal transparency (white arrows) indicative of stage 2 non-proliferative disease. C, D Confocal blue reflectance imaging reveals perifoveal hyperreflectance (white arrows) in both eyes, confirming the diagnosis of type 2 MacTel disease. E Horizontal raster optical coherence tomography (OCT) imaging of the right eye passing through the center of the fovea reveals splaying of the foveal contour (white arrow), perifoveal hyperreflective middle retinal layers (red arrow), and inner (blue arrow) and outer retinal (yellow arrow) cavitations. F Horizontal raster OCT imaging of the left eye through the fovea demonstrates foveal splaying (white arrow) and perifoveal hyperreflective middle retinal layers (red arrow)