It sounds like you have done some research already and have a decent understanding already. Drusen are extracellular deposits that build up under the retina mostly due to problems with the
retinalFluorescein angiography
Retinal artery occlusion
Retinal detachment
Retinal detachment repair
Retinal dye injection pigment epithelium. WIth a patient with drusen, I usually recommend a eye vitamin supplement with plenty of vit a,c,e, zinc, lutein, and zeanthine. A product like I cap Lutein and Zeanthine formula, or
OcuviteOcuvite
Ocuvite extra
Ocuvite lutein
Ocuvite preservision Extra are nice examples. Omega 3 fish oil 1000mg twice a day should also be helpful. No smoking, limit alcohol, closley control blood pressure and cholesterol, exercise regularly, eat healthy diet with plenty of fruits, vegetables and fish. In this way you can do everything within your control to reduce the progression of macular degeneration in the future. Genetics play a large role also and there is some part of this that is outside of your control but still you should do whatever possible in a proactive way to slow down the degeneration.
MJK MD
However, when I went to an ophthalmologist about another problem, he never mentioned the drusen until I asked. He said he wouldn't even have mentioned them to me and he didn't seem worried about them nor say anything about macular degeneration. I don't think they INEVITABLY lead to macular degeneration. And I don't think mine have changed in the five or six years that I've known about them.
So I would tell the person not to worry too much, but just to take care of his eyes as the doctor suggested.
Nancy T.