Small, hard, yellow protein deposits that appear under the nourishing layer of the retina called the retinal pigment epithelium (RPE) are called drusen. Some small drusen are common in people as they age, even in the absence of disease. However, the presence of drusen often indicate the early stages of age-related macular degeneration (AMD). When drusen become larger, softer, and more vaguely shaped, there is a greater risk that an advanced stage of AMD will develop and vision loss will occur.