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Abstract Albinism represents a group of inherited melanin disorders, presenting with nystagmus, iris transillumination, and reduced visual acuity. Foveal and optic nerve hypoplasia together with optic track misrouting are the most constant features. Perhaps there is a wide transitional zone from normal to albinotic, rendering the diagnosis of albinism is no longer just clinical. Although it can be broadly divided into oculocutaneous and ocular albinism, advancements in molecular genetics that have led to a reclassification of albinism into various subcategories. VEP is diagnostic in questionable cases showing the classical atypical chiasmal crossing. Management is directed to correct error of refraction, and glare, low vision aids to assist visual impairment in albinism. Instruct the child to use full sleeves and full pants, use broad brimmed hat to protect the skin from sunrays. Rehabilitation is a crucial part, thus a team work should include in addition to the ophthalmologist; a dermatologist, a pediatrician, a rehabilitator and a genetic counselor. Potential molecular based treatments are still area under research. Key Words: Albinism, Visual Impairment Glare VEP Rehabilitation. |