A 28-year-old male patient presented with visual distortion in his right eye. Leveraging Heidelberg Engineering’s SPECTRALIS multimodal imaging—comprising OCT, Multicolor Imaging, and Fluorescein Angiography—clinicians successfully diagnosed Macular Telangiectasia Type 2 (MacTel Type 2) at an early stage. The case exemplifies how subtle pathological changes can be detected well before classic signs appear, ensuring timely and precise intervention.