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Albinism affects approximately 1 in 20,000 individuals.
Although the most obvious symptom is a deficiency in pigmentation, many
more serious conditions accompany the disorder. It produces abnormal
crossings of the temporal fibers in the optic chiasm, nystagmus, photophobia,
variable visual acuity and, frequently, strabismus. The main subdivisions
of albinism include oculocutaneous, ocular, and albinoidism. Albinoidism
is the absence of pigment in localized areas; the pigment in the skin,
hair, and eyes is less than normal but does not affect the individual
as severely as the oculocutaneous or ocular types.
Albinism is a genetic trait characterized by the lack
of pigmentation, but albinos typically contain normal numbers of melanocytes
in their skin. Cellular pigmentation is dependent upon a cell's ability
to manufacture and sequester the pigment melanin. This is accomplished
within organelles called melanosomes that reside inside cells called
melanocytes. The melanocytes that originate in the neural crest provide
pigment for the skin (including eyelids), hair, uvea, conjunctiva, stroma
of the iris, ciliary body and choroids. The melanoctyes that supply
pigment for the retinal pigment epithelium (RPE) are derived from neuroectoderm.
The melanocytes of albinos are generally unable to express pigmentation
because they lack the enzyme tyrosinase, which is involved in the conversion
of the amino acid tyrosine to melanin. (http://www.albinism.org/)
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