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A 10-year-old boy is evaluated for mildly decreased vision. On fundus examination, he is found to have a distinctive yellow, discoid, subretinal lesion in the macula of both eyes, resembling an “egg yolk.” His visual acuity is currently normal. Which diagnostic test is characteristically abnormal in both affected patients with this condition and in asymptomatic carriers, making it useful for diagnosis and genetic counseling?

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