Ocular albinism
| Ocular albinism | |
|---|---|
| Synonyms | |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Reduced visual acuity, nystagmus, photophobia, strabismus, hypopigmentation of the iris and retina |
| Complications | |
| Onset | Birth |
| Duration | Lifelong |
| Types | Ocular albinism type 1 (OA1) |
| Causes | Genetic mutation in the GPR143 gene |
| Risks | |
| Diagnosis | Clinical examination, genetic testing |
| Differential diagnosis | Oculocutaneous albinism, Hermansky-Pudlak syndrome, Chediak-Higashi syndrome |
| Prevention | |
| Treatment | Vision aids, sunglasses, low vision therapy |
| Medication | |
| Prognosis | Variable, generally stable vision |
| Frequency | Rare |
| Deaths | |
Ocular albinism is a genetic condition that primarily affects the eyes. This condition reduces the coloring (pigmentation) of the iris, which is the colored part of the eye, and the retina, which is the light-sensitive tissue at the back of the eye. Pigmentation in the eye is essential for normal vision.
Causes
Ocular albinism is caused by mutations in specific genes, most commonly the GPR143 gene. These mutations disrupt the production of a protein needed for the normal coloring of the skin, hair, and eyes. People with ocular albinism usually have a normal amount of melanin in the skin and hair, but have reduced pigmentation in the eyes, affecting their visual acuity.
Symptoms
The most common symptoms of ocular albinism include nystagmus (involuntary eye movement), strabismus (misalignment of the eyes), photophobia (sensitivity to light), and foveal hypoplasia (underdevelopment of the fovea, which is responsible for sharp central vision).
Diagnosis
Diagnosis of ocular albinism is based on the presence of characteristic eye changes, such as reduced iris pigmentation and foveal hypoplasia. Genetic testing can confirm the diagnosis.
Treatment
There is currently no cure for ocular albinism. Treatment is aimed at managing the symptoms and may include the use of glasses or contact lenses to correct vision problems, and measures to protect the eyes from the sun.
See also
References
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Contributors: Prab R. Tumpati, MD