During the past several decades, many individuals have noted that drusen may resolve after macular laser photocoagulation. The lack of effective therapies against choroidal neovascularization (CNV) due to age-related macular degeneration (AMD) has prompted many investigators to explore strategies designed to prevent CNV in eyes with high-risk drusen. Currently, several pilot studies in the United States, Spain, Sweden, Australia, and the United Kingdom are in progress; the Choroidal Neovascularization Prevention Trial (CNVPT) is the largest pilot study to date and is detailed herein. A definitive study, the Complications of Age-Related Macular Degeneration Prevention Trial, aims to evaluate the effects of laser treatment in patients with bilateral drusen and will commence this year.