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