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2.1
X-Linked Recessive Ocular Albinism
Ocular Albinism Type 1

Presentation

The macula and fovea become poorly differentiated, with the rods present more in the fovea and the cones distributed away from the fovea. [reviewofoptometry.com]

The melanocyte is present in all individuals and is only rarely absent in some. [edoj.org.eg]

The additional clinical spectrum of OCA patients from all three families are presented in Table. [jpma.org.pk]

In most affected individuals, the hair and skin color are normal, although some may present with a lighter shade of skin and/or hair color when compared to unaffected family members. [dovemed.com]

The skin had generalized pigment and well developed tan was present on the exposed arm and face skin of four. Iris pigment was present and iris translucency varied. [osti.gov]

Neurologic

  • Nystagmus

    (see these terms), and autosomal dominant infantile nystagmus syndrome. [orpha.net]

    Strabismus, nystagmus, photophobia, absent stereoacuity and high refractive errors including hypermetropia are other common features. Vision may be near normal but usually worse, in the range of 20/100 to 20/300. [disorders.eyes.arizona.edu]

    In patients with nystagmus, if you can superimpose the OKN over top of their nystagmus, or reverse the direction of the nystagmus with the OKN (as we did with our patient), the visual prognosis for these children being mainstreamed into normalsighted [reviewofoptometry.com]

    1, Congenital, X-Linked Nystagmus 1, Infantile, X-Linked Nystagmus, Congenital Motor, 1 Nystagmus, Infantile Idiopathic, Formerly NYS1 IIN 310700 Genetic Test Registry Nystagmus 6, Congenital, X-Linked NYS6 300814 Genetic Test Registry Retinitis Pigmentosa [ukgtn.nhs.uk]

Workup

Diagnostic Workup of Albinism People with a complete absence of melanin from their skin, hair and eyes are easy to be diagnosed clinically with albinism. [lecturio.com]

Treatment

Management and treatment Annual ophthalmologic examinations are recommended for patients under the age of 16, and after that every 2-3 years. Treatment consists of visual correction with eyeglasses or contact lenses. [orpha.net]

Treatment Treatment Options: Treatment for the ocular symptoms is targeted toward specific problems. Refractive errors are treated with corrective glasses with tinted lenses recommended for the photophobia. [disorders.eyes.arizona.edu]

Treatment of Ocular Albinism Environmental changes and the use of visual aids to magnify the limit of vision are the major considerations included in the treatment of ocular albinism. [ihealthblogger.com]

You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments. [rarediseases.info.nih.gov]

Prognosis

Prognosis XLOA is not life threatening. The reduced visual acuity and the social consequences of albinism can however have an impact on a patient's daily life. The documents contained in this web site are presented for information purposes only. [orpha.net]

Optokinetic testing may help determine the prognosis. As you spin the OKN drum, normal-sighted individuals develop an optokinetic nystagmus. [reviewofoptometry.com]

Prognosis - Albinism ocular late onset sensorineural deafness Not supplied. [checkorphan.org]

Etiology

Etiology XLOA is caused by a mutation in the G-protein coupled receptor 143 GPR143 gene located at Xp22.3 that encodes for a membrane glycoprotein found in melanosomes. [orpha.net]

(Etiology) Ocular Albinism is caused by mutations in the G protein-coupled receptor 143 or GPR143 gene. Under normal circumstances, the GPR143 gene codes for a protein in the retina and skin cells. [dovemed.com]

Etiology Wu AL, Wang JP, Tseng YJ, Liu L, Kang YC, Chen KJ, Chao AN, Yeh LK, Chen TL, Hwang YS, Wu WC, Lai CC, Wang NK Retina 2018 May;38(5):1047-1057. doi: 10.1097/IAE.0000000000001629. PMID: 28376043 Mol Med Rep 2014 Jul;10(1):491-5. [ncbi.nlm.nih.gov]

Etiology Biochemical pathway leading to melanin production. Note that Tyrosinase is essential for the first two steps of the pathway. [eyewiki.aao.org]

Epidemiology

Summary Epidemiology The estimated birth prevalence is from 1/60,000 to 1/150,000 live male births. Clinical description Nystagmus, sometimes associated with head nodding, usually develops in affected males within the first 3 months of life. [orpha.net]

Albinism Diagnosis Albinism Causes Epidemiology of Albinism [news-medical.net]

License: CC BY 2.0 Epidemiology of Albinism The prevalence of albinism is approximately 1 in 17,000 people in the United States. This gives a figure of about 18,000 people with albinism in the United States. [lecturio.com]

Epidemiologic studies of Europe and United States indicated that genetically caused OCA affects 1 in 17000 newborns, while this figure may be higher in Pakistani society where rate of consanguineous marriages are over 60 % among which the ratio of first [jpma.org.pk]

Pathophysiology

Pathophysiology of Albinism Melanin is a pigment in the skin that absorbs ultraviolet light from the sun, thereby preventing skin damage. The tanning of the skin normally on sun exposure is due to increased melanin pigment in the skin. [medcaretips.com]

Pathophysiology of Albinism OCA 1 and 2 are related to mutations in genes responsible for tyrosinase and P protein, respectively. These mutations are not x-linked. [lecturio.com]

Orthotropia is uncommon in albinism—they are often esotropic or exotropic, and their anomalous visual pathway anatomy precludes the development of high-grade stereoacuity. 3 Pathophysiology The mechanism of disease is deficient melanin production. [reviewofophthalmology.com]

Prevention

[…] of complications Active research is currently being performed to explore the possibilities for treatment and prevention of inherited and acquired genetic disorders such as Ocular Albinism. [dovemed.com]

Patients should wear hats/caps, clothing, and sunscreen on sun-exposed skin to prevent burning and skin cancer. Prognosis XLOA is not life threatening. [orpha.net]

Prevention - Albinism ocular late onset sensorineural deafness Not supplied. Diagnosis - Albinism ocular late onset sensorineural deafness The diagnosis of ocular albinism is based on the characteristic eye findings. [checkorphan.org]

Mutated gene prevents the protein from reaching the melanosomes to produce sufficient melanin required for pigmentation of skin and eyes. [ihealthblogger.com]

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