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Living with Ocular albinism, type I

An X-linked eye condition, mainly in males, with less pigment in the iris and retina, poor vision, and quick eye movements.

Understanding Ocular albinism, type I

Ocular albinism, type I is a genetic eye condition that mainly affects males and reduces pigment in the iris and retina.

Signs include underdevelopment of the fovea (the part of the retina for sharp vision), rapid involuntary eye movements (nystagmus), poor vision and depth perception, eyes that don't look in the same direction, and light sensitivity. Females have been affected in rare cases. GARD lists newborn and infant years as the usual onset.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Lack of pigment in the eye
  • Quick, involuntary eye movements (nystagmus)
  • Extreme sensitivity to light (photophobia)
  • Eyes that don't look in the same direction (strabismus)
  • Underdeveloped fovea
  • Light eye color and astigmatism

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists and genetic specialists.

  3. Consider genetic testing

    Changes in GPR143 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Prevent Blindness America and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What does X-linked inheritance mean for my family?
Would GPR143 genetic testing help other relatives?
What can help with light sensitivity and vision at school?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceX-Linked
GenesGPR143

Changes in the GPR143 gene cause this condition. It is inherited in an X-linked recessive way, which is why it mainly affects males.

GeneticInherited Metabolic

Also known as: nettleship-falls syndrome; nettleship-falls type ocular albinism; oa1; oa1 - x-linked ocular albinism; ocular albinism type 1; ocular albinism, nettleship-falls type

Patient organizations

Source: NIH GARD · Ocular albinism, type IGARD ID 8471 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Ocular albinism, type I.

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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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