Reduced visual acuity may result in difficulty in school, such as inability to read what is written on a chalkboard except when very close, and difficulty with ball sports. It may also result in inability to drive and place limitation on vocational choice. Parents and persons with ocular albinism often feel anger and shame about the condition and try to deny it or pretend it does not exist. This can result in the person with albinism experiencing low self esteem, difficulties in relationships with others, and low functioning in school and work.