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Prevalence and Profile of Ophthalmic Disorders in Oculocutaneous Albinism: A Field Report from South-Eastern Nigeria

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Abstract

To assess the burden and spectrum of refractive and non-refractive ophthalmic disorders in south-eastern Nigerians with oculocutaneous albinism. In a population-based survey in Enugu state, between August, 2011 and January, 2012, albinos were identified using the database of the Enugu state’s Albino Foundation, and mass media-based mobilisation. The participants were enrolled at the Eye Clinics of the University of Nigeria Teaching Hospital and Enugu State University of Science and Technology Teaching Hospital using a defined protocol. Relevant socio-demographic and clinical data were obtained from each participant. Descriptive and comparative statistics were performed. Statistical significance was indicated by p < 0.05. The participants (n = 153; males, 70) were aged 23.5 + 10.4 SD years (range 6–60 years). Both refractive and non-refractive disorders were present in all participants. Non-refractive disorders comprised nystagmus, foveal hypoplasia, hypopigmented fundi and prominent choroidal vessels in 100.0 % participants; and strabismus in 16.3 % participants. Refractive disorders comprised astigmatism −73.2 % eyes, myopia −23.9 % and hypermetropia 2.9 %. Spherical refractive errors ranged from −14.00 DS to +8.00 DS while astigmatic errors ranged from −6.00 DC to +6 DC. Mixed refractive and non-refractive disorder i.e. presenting visual impairment was present in 100.0 % participants. Overall, refractive error was associated with non-possession of tertiary education (OR 0.61; 95 % CI 0.38–0.96; p = 0.0374). There is high prevalence of refractive, non-refractive and mixed ophthalmic disorders among albinos in south-eastern Nigeria. This underscores the need for tailored provision of resources to address their eye care needs, and creation of needs awareness amongst them.

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References

  1. Karen, G., Jakob, E. K., & Karen, B. (2007). Oculocutaneous albinism. Orphanet Journal of Rare Diseases, 2, 43.

    Article  Google Scholar 

  2. Oetting, W. S., & King, R. A. (1999). Molecular basis of albinism: mutations and polymorphisms of pigmentation genes associated with albinism. Human Mutation, 13(2), 99–115.

    Article  CAS  PubMed  Google Scholar 

  3. Hong, E. S., Zeeb, H., & Repacholl, M. H. (2006). Albinism in Africa as a public health issue. BMC Public Health, 6, 212.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Kromberg, J. G., & Jenkins, T. (1982). Prevalence of albinism in the South African Negro. South African Medical Journal, 61(11), 383–386.

    CAS  PubMed  Google Scholar 

  5. Okoro, A. N. (1975). Albinism in Nigeria. British Journal of Dermatology, 92(5), 485–492.

    Article  CAS  PubMed  Google Scholar 

  6. King, R. A., Lewis, R. A., Townsend, D., Zelickson, A., Olds, D. P., & Brumbaugh, J. (1985). Brown oculocutaneous albinism. Ophthalmology, 92, 1496–1505.

    Article  CAS  PubMed  Google Scholar 

  7. Larkin, D. F. P., & O’Donoghue, H. N. (1988). Developmental glaucoma in oculocutaneous albinism. Ophthalmic Genetics, 9(1), 1–4.

    Article  CAS  Google Scholar 

  8. The Physics Encyclopedia: Albinism: Physics Daily. http://www.physicsdaily.com/physics/Albino#Lack_of_pigmentation. Accessed December 28, 2010.

  9. Anderson, J., Lavoie, J., Merill, K., King, R. A., & Summer, C. G. (2004). Efficacy of spectacles in persons with albinism. J AAPOS, 8(6), 515–520.

    Article  PubMed  Google Scholar 

  10. Oduntan, A. O., Raliavhegwa, M., & Lund, P. M. (2002). Vision status of children with oculocutaneous albinism. Ophthalmic and Physiological Optics, 22, 572–573.

    Article  Google Scholar 

  11. Sacharowitz, H. (2000). An overview of oculocutaneous albinism in South Africa. In C. Steven, et al. (Eds.), Visual rehabilitation: assessment, intervention, and outcomes (pp. 41–46). New York: Swets and Zeitlinger Publishers.

    Google Scholar 

  12. Mvogo, C. E., Bella-Hiag, A. L., Ellong, A., & Mbarga, B. M. (1999). Visual problems in albinos: a hospital study carried out at the Douala General Hospital. Santé, 9(2), 89–91.

    CAS  PubMed  Google Scholar 

  13. Wildsoet, C. F., Oswald, P. J., & Simon, C. (2000). Albinism: its implication for refractive development. Investigative Ophthalmology & Visual Science, 41(1), 1–7.

    CAS  Google Scholar 

  14. Preising, M. N., Forster, H., Gonser, M., & Lorenz, B. (2011). Screening of TYR, OCA2, GPR143, and MC1R in patients with congenital nystagmus, macular hypoplasia, and fundus hypopigmentation indicating albinism. Molecular Vision, 17, 939–948.

    CAS  PubMed Central  PubMed  Google Scholar 

  15. Abadi, R., & Eve, P. (1989). The recognition and management of albinism. Ophthalmic and Physiological Optics, 9(1), 3–15.

    Article  CAS  PubMed  Google Scholar 

  16. Udeh NN, Eze BI, Onwubiko SN, Arinze OC, Onwasigwe EN, Umeh RE. Oculocutaneous Albinism: Identifying and Overcoming Barriers to Vision Care in a Nigerian Population. Journal of Community Health. 2013 Nov 6. [Epub ahead of print].

  17. Kutzbach, B. R., Merrill, K. S., Houge, K. M., Downes, S. J., Holleschan, A. M., MacDonald, J. T., et al. (2009). Evaluation of vision-specific-quality-of-life in albinism. Journal of AAPOS, 13(2), 191–195.

    Article  PubMed  Google Scholar 

  18. Mohamed, A. F., El-Sayed, N. S., & Seifeldin, N. S. (2010). Clinico-epidemiologic features of oculocutaneous albinism in northeast section of Cairo—Egypt. Egyptian Journal of Medical Human Genetics, 11, 167–172.

    Article  Google Scholar 

  19. Wolf, B. A., Rubin, S. E., & Kodsi, S. R. (2005). Comparison of clinical findings in pediatric patients with albinism and different amplitudes of nystagmus. Journal of AAPOS, 9, 363–368.

    Article  PubMed  Google Scholar 

  20. Summer, C. G. (2009). Albinism: classification, clinical characteristics and recent findings. Optometry and Vision Science, 86, 659–662.

    Article  Google Scholar 

  21. 2006 Population and Housing Census of the Federal Republic of Nigeria. Official Gazette of Federal Republic of Nigeria, 96(2), 2009.

  22. Collins, B., & Silver, J. (1990). Recent experiences in management of visual impairment in Albinism. Ophthalmic Genetics, 11(3), 225–228.

    Article  CAS  Google Scholar 

  23. Kromberg, J. G., Castle, D., Zwane, E. M., & Jenkins, T. (1989). Albinism and skin cancer in Southern Africa. Clinical Genetics, 36, 43–52.

    Article  CAS  PubMed  Google Scholar 

  24. King, R. A., Creel, D., Cervenka, J., et al. (1980). Albinism in Nigeria with delineation of new recessive oculocutaneous type. Clinical Genetics, 17, 259–270.

    Article  CAS  PubMed  Google Scholar 

  25. Cullinan, T. R. (1977). The epidemiology of visual disability. Studies of visually disabled people in the community. HSRU Report, 28, 136–137.

    Google Scholar 

  26. National Organization of Albinism and Hypopigmentation (NOAH). Information for parent and children with Albinism. http://www.albinism.org Accessed December 28, 2010.

  27. Ezeilo, B. N. (1989). Psychological aspects of albinism: an exploratory study of Nigerian (Igbo) albino subjects. Social Science and Medicine, 29(9), 1129–1131.

    Article  CAS  PubMed  Google Scholar 

  28. Yahalom, C., Tzur, V., Blumenfeld, A., Greifner, G., Eli, D., Rosenmann, A., et al. (2012). Refractive profile in oculocutaneous albinism and its correlation with final visual outcome. British Journal of Ophthalmology, 96(4), 537–539.

    Article  PubMed  Google Scholar 

  29. Watkins, S. (1972). Albinism in Nigeria. Lancet, 1, 203.

    Article  Google Scholar 

  30. Merrill, K. S., Lavoie, J. D., King, R. A., & Summers, C. G. (2004). Positive angle kappa in albinism. Journal of AAPOS, 8, 237–239.

    Article  PubMed  Google Scholar 

  31. Merrill, K., Hogue, K., Downes, S., Holleschau, A. M., Kutzbach, B. R., MacDonald, J. T., et al. (2011). Reading acuity in albinism: Evaluation with MNREAD charts. Journal of AAPOS, 15, 29–32.

    Article  PubMed  Google Scholar 

  32. Lee, K. A., King, R. A., & Summers, C. G. (2001). Stereopsis in patients with albinism: clinical correlates. Journal of Pediatric Ophthalmology and Strabismus, 5, 98–104.

    Article  CAS  Google Scholar 

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Acknowledgments

The authors acknowledge the assistance of the Albino Foundation (TAF) Enugu State Chapter, Drs. Oguama Felix, Okeh Ada, Eze Joy N, Ogbonnaya O and Dr. Ama for logistic support. The authors declare no external funding support for this work.

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Correspondence to B. I. Eze.

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All the listed authors participated in data collection, analysis and interpretation, contributed significantly to the intellectual content of the manuscript, and approved the final version for submission.

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Udeh, N.N., Eze, B.I., Onwubiko, S.N. et al. Prevalence and Profile of Ophthalmic Disorders in Oculocutaneous Albinism: A Field Report from South-Eastern Nigeria. J Community Health 39, 1193–1199 (2014). https://doi.org/10.1007/s10900-014-9878-y

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