Wagner: A 9-year-old, boy with tyrosinase-positive oculocu-taneous albinism presents with best spectacle-corrected visual acuity of 20/80 in both eyes and a +2, -250at 180deg refraction that is symmetric in both eyes. He has a horizontal pendular nystagmus typical of oculocutaneous albinism, with no face turn or demonstrable null point or null zone. The parents want to know whether anything can be done surgically to reduce the nystagmus, and if so, whether it will improve, his visual acuity. They have been told that he will never be able to drive, and they are hoping there may be a possible solution for this problem with surgery. Dr. Del Monte, how would you handle talking to the parents about this, and what can you offer the family?
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机译:瓦格纳(Wagner):一个9岁的男孩,酪氨酸酶阳性眼球白化病,双眼的眼镜矫正视力最好,为20 / 80,180度折射时+ 2,-250,双眼对称。他有典型的眼皮肤白化病的水平摆动性眼球震颤,没有脸部转弯或明显的无效点或无效区域。父母想知道是否可以通过外科手术来减少眼球震颤,如果可以,是否可以改善其视力。他们被告知他将永远无法开车,他们希望可能通过手术解决这个问题。 Del Monte博士,您将如何与父母讨论此事,您能为家人提供什么?
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