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Albinism

  1. What is albinism?

  2. What are the typical findings of this condition?

  3. What diagnostics are done for patients considered to have albinism?

  4. Can anything be done to improve the visual acuity?

  5. How do I get more information?


What is albinism?

Albinism is the absence of melanin pigment that can occur systemically (oculocutaneous) or primarily involving the eyes (ocular). 

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What are the typical findings of this condition?

Oculocutaneous albinism can be divided into two types, tyrosinase-positive and tyrosinase-negative, using hair root studies.  Tyrosinase is an enzyme responsible for converting tyrosine to melanin.  The eye findings associated with oculocutaneous albinism include poor visual acuity, usually 20/80 to 20/400, nystagmus, hypopigmentation of the iris with transillumination defects, macular hypoplasia, and hypopigmented fundus.  The poor visual acuity is due to macular hypoplasia and “miswiring” of the optic neurons in the chiasm.  Tyrosinase-positive oculocutaneous albinism shows progressive increased pigmentation, as they are bale to produce melanin.  Tyrosinase- negative oculocutaneous albinism is a severe hypopigmentation disorder that tends to be static and is associated with poorer visual acuity and legal blindness. Both positive and negative oculocutaneous albinism are inherited as autosomal recessive traits.  

Ocular albinism is hypopigmentation that is localized to the eye.  Patients with this condition may have brown or dark hair and will not look like the typical patient with albinism.  In contrast to the oculocutaneous type, ocular albinism is usually inherited as an x-linked trait.   

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What diagnostics are done for patients considered to have albinism?

VEP findings suggest an excessive decussating of neurons at the chiasm.  Hair root studies are done to determine tyrosinase activity.

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Can anything be done to improve the visual acuity?

Correcting the associated refractive error, particularly astigmatism may improve acuity, or sometimes the severity of nystagmus.  Tinted glasses will help in decreasing the sensitivity to light. 

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How do I get more information?

There are several ways of reaching the ophthalmologists of EYE REPUBLIC Ophthalmology Clinic:
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EYE REPUBLIC Ophthalmology Clinic

Manila

3/F Don Santiago Building Units 309-310

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Manila, 1000 Philippines

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Muntinlupa City, 1781 Philippines

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Pasig City, 1604, Philippines

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EYE REPUBLIC Ophthalmology Clinic

St. Luke's Medical Center

6/F Cathedral Heights Building Complex (CHBC)

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279 E. Rodriguez Sr. Boulevard

Quezon City, 1102 Philippines

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 ALBINISM information compiled by Dr. Barbara L. Roque and initially uploaded on September 13, 2005.

Last updated on September 13, 2007.

 

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