Albinism and reduction of high definition receptiors

Discussion in 'Optometry Archives' started by Adrian Parker, Jul 7, 2006.

  1. Hi,

    I've been told that in the eye of a person with albinism, there are fewer
    rods to 'see' fine detail of an image. So even if all the other eye
    conditions were corrected, there would still be a problem seeing.

    Does anyone know what % the reduction of Rods is as compared to a normal eye
    ?
     
    Adrian Parker, Jul 7, 2006
    #1
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  2. Adrian Parker

    acemanvx Guest


    I read that albinos have less rods/cones so they are often legally
    blind. I read the posts of one in another forum who sees 20/150 and he
    considers himself lucky because some see much worse. Another described
    her vision as pixalized with antialising as the best description she
    could give. A normal person could look at an "E" and see it perfectly
    sharp. She would also see it sharp but it may be too small.


    http://www.yorku.ca/eye/popepix.gif

    This is the best description I can find. Again, albinos would NOT see
    blurry, but more like pixelized but not this exaggerated, just lacking
    any fine details due to low density of rods/cones.
     
    acemanvx, Jul 7, 2006
    #2
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  3. |
    | Adrian Parker wrote:
    | > Hi,
    | >
    | > I've been told that in the eye of a person with albinism, there are
    fewer
    | > rods to 'see' fine detail of an image. So even if all the other eye
    | > conditions were corrected, there would still be a problem seeing.
    | >
    | > Does anyone know what % the reduction of Rods is as compared to a normal
    eye
    | > ?
    | >
    | > --
    | > Adrian Parker
    |
    |
    | I read that albinos have less rods/cones so they are often legally
    | blind. I read the posts of one in another forum who sees 20/150 and he
    | considers himself lucky because some see much worse. Another described
    | her vision as pixalized with antialising as the best description she
    | could give. A normal person could look at an "E" and see it perfectly
    | sharp. She would also see it sharp but it may be too small.
    |
    | http://www.yorku.ca/eye/popepix.gif
    |
    | This is the best description I can find. Again, albinos would NOT see
    | blurry, but more like pixelized but not this exaggerated, just lacking
    | any fine details due to low density of rods/cones.

    Sorry, should have explained, I have albinism, so I know what the vision is
    like, I am trying to find out about the general reduction of fine detail
    receptor cells (rods) in the eye. I've been having neurofeedback to
    correct the nystagmus and it has helped for near sight, but not long
    distance, and I'm wondering if it is because of the fine receptors not being
    able to resolve down to a small enough resolution.

    My vision is betwen 6/24 and 6/36 (20/80 and 20/120)
     
    Adrian Parker, Jul 7, 2006
    #3
  4. Adrian Parker

    acemanvx Guest

    Ah I see. I will do more research on that. Do you see the world
    pixelized with anisometropia blurring? Can you describe what you see
    exactly?
     
    acemanvx, Jul 8, 2006
    #4
  5. | Ah I see. I will do more research on that. Do you see the world
    | pixelized with anisometropia blurring? Can you describe what you see
    | exactly?

    With albinism, there are several other factors that affect vision:-
    Nystagmus, Astigmatism, Photophobia, Squint and Strabismus.

    I'm told that when I squint, it adversely affects the vision centres of the
    brain, so I've been working on reducing that.

    Nystagmus.. causes a problem because the brain has to snapshot images
    instead of getting constant updates, so for a moving target, I'd see less
    detail than a normal sighted person because of what is probably like a
    strobing effect, you see the movement, but your brain only gets images now
    and then and so has to fill in the gaps with a best guess.

    Astigmatism.. in my case, my last eye test gave me figures of
    Right Eye : Sph +7 Cyl -4 Axis 15
    Left Eye : Sph +6 Cyl -2 Axis 175
    So, as you can see, I need quite a high corrective lens, so my eyes are
    trying to compensate for the imprecise nature of the lenses.

    Photophobia.. this causes me to squint, so I have to ensure I wear a brimmed
    hat and dark glasses outside else I have to squint a lot.

    Strabismus.. With the treatment I've been having, this seems to have been
    reduced quite a bit, my eyes are far more convergent than they used to be,
    and my binocularity seems much improved.

    So, to describe what I see compared to a normal sighted person has to take
    into account several factors, including how tired my eyes are, or how
    stressed I am (stress affects nystagmus a lot). I do not see the world
    moving from side to side because of my congenital nystamus as my brain edits
    it out, nor do I see the world as a blur (like in your image), I see a clear
    picture, but like you, when you look at a very distant object, you can see
    it ok and it isn't blurred, you just can't make out fine detail.
     
    Adrian Parker, Jul 8, 2006
    #5
  6. Adrian Parker

    Charles Guest

    Adrian,

    Ace is just a kid who spends too much time on the computer. I'm sorry
    that he has hijacked the thread and no credible people have yet
    replied. I just wanted to warn you, and hopefully someone
    knowledgeable will give you a good response.



    --
     
    Charles, Jul 8, 2006
    #6
  7. I did get the idea that he wasn't a professional when he asked about how I
    see, hence I gave an explanation of all that is occurring.. as I believe
    that the more people who understand the visual problems people have, the
    better :) Albinism in particular is a very misunderstood and often
    vilified condition (take the da vinci code file for example).

    | Adrian,
    |
    | Ace is just a kid who spends too much time on the computer. I'm sorry
    | that he has hijacked the thread and no credible people have yet
    | replied. I just wanted to warn you, and hopefully someone
    | knowledgeable will give you a good response.
    |
    | Adrian Parker wrote:
    |
    | >
    | > | > > Ah I see. I will do more research on that. Do you see the world
    | > > pixelized with anisometropia blurring? Can you describe what you
    | > > see exactly?
    | >
    | > With albinism, there are several other factors that affect vision:-
    | > Nystagmus, Astigmatism, Photophobia, Squint and Strabismus.
    | >
    | > I'm told that when I squint, it adversely affects the vision centres
    | > of the brain, so I've been working on reducing that.
    | >
    | > Nystagmus.. causes a problem because the brain has to snapshot images
    | > instead of getting constant updates, so for a moving target, I'd see
    | > less detail than a normal sighted person because of what is probably
    | > like a strobing effect, you see the movement, but your brain only
    | > gets images now and then and so has to fill in the gaps with a best
    | > guess.
    | >
    | > Astigmatism.. in my case, my last eye test gave me figures of
    | > Right Eye : Sph +7 Cyl -4 Axis 15
    | > Left Eye : Sph +6 Cyl -2 Axis 175
    | > So, as you can see, I need quite a high corrective lens, so my eyes
    | > are trying to compensate for the imprecise nature of the lenses.
    | >
    | > Photophobia.. this causes me to squint, so I have to ensure I wear a
    | > brimmed hat and dark glasses outside else I have to squint a lot.
    | >
    | > Strabismus.. With the treatment I've been having, this seems to have
    | > been reduced quite a bit, my eyes are far more convergent than they
    | > used to be, and my binocularity seems much improved.
    | >
    | > So, to describe what I see compared to a normal sighted person has to
    | > take into account several factors, including how tired my eyes are,
    | > or how stressed I am (stress affects nystagmus a lot). I do not see
    | > the world moving from side to side because of my congenital nystamus
    | > as my brain edits it out, nor do I see the world as a blur (like in
    | > your image), I see a clear picture, but like you, when you look at a
    | > very distant object, you can see it ok and it isn't blurred, you just
    | > can't make out fine detail.
    |
    |
    |
    | --
    |
     
    Adrian Parker, Jul 8, 2006
    #7
  8. Adrian Parker

    Charles Guest

    Until I saw your post (and followed up with some Googling) I didn't
    realize that albinism so frequently caused (or came along with) poor
    vision. One site I read pointed out how albino characters are almost
    exclusively villains... for what it's worth, when I was a kid I was
    addicted to a fantasy book series in which the hero/main character was
    albino. ;)

    Best of luck.

    --
     
    Charles, Jul 8, 2006
    #8
  9. Many thanks !

    |
    | Adrian Parker wrote:
    | > Hi,
    | >
    | > I've been told that in the eye of a person with albinism, there are
    fewer
    | > rods to 'see' fine detail of an image. So even if all the other eye
    | > conditions were corrected, there would still be a problem seeing.
    | >
    | > Does anyone know what % the reduction of Rods is as compared to a normal
    eye
    | > ?
    | >
    | > --
    | > Adrian Parker
    |
    |
    | Don't know the percentage, don't know if has been calculated. In any
    | case, it will vary from individual to individual depending upon the
    | type and severity of the albinism.
    |
    | It isn't actually rods that are reduced and rods are not responsible
    | for fine detail, cones are. In albinism, the retinal pigment
    | epithelium (RPE) is very thin or missing, since it is a pigmented
    | tissue and pigment is what people with albinism lack. The RPE supports
    | the photoreceptors, both rods and cones, and when it is lacking then
    | the photoreceptors either don't develop or develop poorly. Fine
    | detail is lacking because the cones in the macula, the most detail
    | senstive part of the retina, are lacking or defective. So yes, even if
    | other conditions like strabismus or refractive error are corrected, the
    | malfunctioning photo receptors means that acuity will be reduced.
    |
    | The lack of good quality central vision often causes nystagmus as the
    | eye searches for the lacking crisp spot, provides less of a stimulus to
    | fusion so strabismus is common with albinism and interferes with the
    | emmetropization process so that high refractive error is common with
    | albinism.
    |
    | For more info, see
    |
    | http://www.revoptom.com/handbook/SECT58a.HTM
    |
    | Dr Judy
    |
     
    Adrian Parker, Jul 9, 2006
    #9
  10. There are a variety of methods used to decrease the congenital nystagmus
    associated with albinism, and there success rates usually correlate to how
    well you could see if the nystagmus isn't there.

    An inexpensive approach that might work real well and doesn't require any
    training or repeated visits and such is simple base out prisms, with an
    extra -1 cut in to account for the increased accomodation at far.
     
    Scott Seidman, Jul 10, 2006
    #10
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