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MacTel is a neurodegenerative disease now considered more common.
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Early symptoms often mimic common macular conditions.
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Multimodal imaging is essential for accurate diagnosis.
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Spectral-domain OCT is the key diagnostic tool.
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FAF helps in confirming diagnoses of subtle OCT findings.
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Future developments include AI for measuring disease progression.
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General ophthalmologists must consider MacTel with temporal juxtafoveal changes.