ALBINISM
ALBINISM
What is albinism?
Melanin is the pigment responsible for the color of the skin, hair, and eyes.
In general, but not always, people with albinism have lighter colored skin and hair than
the other members of their family or ethnic group.
Regardless of skin or hair tone, people with albinism always have some level of
dysfunction with their vision.
Because melanin normally protects the skin from UV (ultraviolet) damage, people with
the disorder are more sensitive to sun exposure and have an increased risk of skin
cancer.
Causes
Albinism is caused by a mutation in one of several genes. The genes in question are
responsible for various aspects of the production of melanin by melanocytes in the skin
and eyes.
Most commonly, the mutations interfere with the enzyme tyrosinase (tyrosine 3-
monooxygenase) which synthesizes melanin from the amino acid tyrosine.
These vision problems occur because of melanin's vital role in the development of the
retina and the optic nerve pathways from the eye to the brain.
Symptoms
The primary symptoms of albinism can be split into the following four categories:
Skin: the most obvious symptom of albinism is a lighter skin tone. However, skin tone
does not always differ substantially. Levels of melanin may slowly increase in some
individuals, slowly darkening their skin tone as they age.
After exposure to the sun, some people with albinism might develop freckles, moles
(generally pink in color due to the reduced quantities of pigment), and large freckle-like
spots called lentigines.
Hair: as with skin, the hair can range in color from white to brown. Those of African or
Asian descent tend to have yellow, brown, or reddish hair.
Eye color: this can also change with age and varies from very light blue to brown. Low
levels of melanin in the iris mean that the eyes can appear slightly translucent and, in
certain light, look red or pink as the light reflects off the retina at the back of the eye.
The lack of pigment prevents the iris from fully blocking sunlight; this makes people with
albinism sensitive to light (photosensitive).
Vision: vision is always affected by albinism. Changes to eye function can include:
Photophobia
Optic nerve misrouting - nerve signals from the retina to the brain follow unusual nerve
routes
Astigmatism - abnormal inflexibility of the front surface of the eye or lens causing
blurred vision.
Vision problems related to albinism tend to be worst in newborns but improve rapidly
over the first 6 months of life; however, they do not tend to reach normal levels of eye
health.