Congenital Nystagmus on Physical Exam These abnormal eye movements were found in a patient with albinism. What do you think? Diagnosis: Congenital nystagmus. Horizontal in 95% of patients. Often seen with albinism, achromatopsia, & formal ophthalmology evaluation is necessary! May occur in 1 in 1500 births. Cooper Neurology Residency @CooperNeuroRes #Congenital #Nystagmus #PhysicalExam #ocular #clinical #video #neurology #ophthalmology