A 62-year-old woman had bilateral progressive decreased vision for 8 years and additional loss of vision and metamorphopsia in her right eye for 3 months. She has had hypertension and well-controlled diabetes since 2001. She did not have carotid artery disease, radiation retinopathy, diabetic retinopathy, or other retinal vascular disease. She was treated 8 months earlier with macular grid photocoagulation and ketorolac tromethamine, 0.4%, eyedrops in both eyes without improvement. Her best-corrected VA was 20/200 OD and 20/50 OS. The retinal examination showed bilateral macular telangiectasia with intraretinal pigment deposition and foveal detachment in the right eye. At the 4-week follow-up, VA improved by 2 Snellen lines (20/60). Fluorescein angiography showed a marked reduction of exudation, and OCT images showed marked reversal of the foveal detachment (Figure 1). At the 6-month follow-up, the VA and OCT results remained stable.