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Living with Doyne honeycomb retinal dystrophy

An inherited eye condition in which small white spots build up under the retina and can slowly reduce vision in adulthood.

Understanding Doyne honeycomb retinal dystrophy

Doyne honeycomb retinal dystrophy, also called familial drusen, is an inherited eye condition that causes vision loss.

Small, round, white spots called drusen build up under the pigmented layer of the retina. Over time, the spots can grow and join together in a honeycomb pattern. The amount of vision loss varies. Symptoms usually begin in adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Small white spots under the retina (drusen)
  • Loss of vision
  • Wavy or distorted vision (metamorphopsia)
  • Changes in retinal color (pigment)
  • Macular dystrophy (damage to the center of the retina)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in EFEMP1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Macular Degeneration Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would genetic testing for the EFEMP1 gene help our family?
How often should my retina be checked?
What can I do about changes in my central vision?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesEFEMP1

GARD says changes in the EFEMP1 gene usually cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

Genetic

Also known as: dhrd; dominant drusen; dominant radial drusen; doyne honeycomb degeneration of retina; doyne's honeycomb choroiditis; drusen, radial, autosomal dominant

Patient organizations

Source: NIH GARD · Doyne honeycomb retinal dystrophyGARD ID 1912 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Doyne honeycomb retinal dystrophy.

Explore the Doyne honeycomb retinal dystrophy blog

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Explore actively recruiting Doyne honeycomb retinal dystrophy studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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