Recommend familial evaluation. Discuss the patient's prognosis and the possible implications on career direction. Emphasize regular examination because changes in fundus appearance over time may elucidate the eventual prognosis. Conduct evaluation for choroidal neovascularization. Refer to a low vision specialist or organization.
Genetic counseling is important for the affected individual and extended family.
Examination and EOG testing of the family can identify carriers who may factor this disease in their career and family-planning decisions. EOG testing is highly diagnostic in this disease. Order this test if the diagnosis is in question. Institute genetic counseling for the individual and the extended family. The 0.5-6 mm diameter yellow or orange lesion results from an accumulation of lipofuscin beneath and within the retinal pigment epithelium.