DR. MOHD SAIF

DR. M. SRINIVASAN GOUNDER

Abstract

A 20 year old male patient presented with painless diminution of vision in both eyes and marked intolerance to bright light slowly progressive since birth. The patient was a diagnosed case of albinism with white hair, very pale skin, and light eyes. The BCVA in RE was 6/36 with correction of -3.00 DS/-1.25DC @ 90 and in LE was 6/60 with correction of -3.5 DS/-1.75 DC @ 170. On examination ; pendular nystagmus and iris transillumination defect was present in both eyes , rest examination of anterior segment was within normal limits. The fundus examination revealed absence of retinal pigmentation thus visualising choroidal vasculature and foveal hypoplasia. A diagnosis of oculocutaneous albinism type 1 with myopic astigmatism was made.

Patient was explained regarding disease condition and advised for avoiding exposure to ultraviolet radiation using UV filtering photochromatic glasses. He was also offered options available for low vision aid.