They nystagmus gets better as they get older b/c the muscles get stronger and can "slow" the movement down. That is why it seems to be worse when they get tired or run down. Jilly is 8 and this is VERY true. Somedays you can't even see them wiggle. It is why their vision also "seems" to get better when they get older. The numbers really don't change but they can focus on and image longer when the nystagmus is slower.
There is usually a "null point" where the vision is the best. That is why some people turn their head kinda funny to read and such. Jilly hasn't shown this but I always watched so I could point it out to her. I figure if she didn't know she was doing it and I said "hey if you look this way can you see it better" it might help her figure things out.
Angie, the thing I've found so far is that you just have to "wing it" with Sophie just like you probably did with the older kids. You know, figure out what works best for her. Some kids like to have routine some dont, some need long naps some don't. The same holds true for a kid with albinism. You'll find yourself just doing things and then think..."Hey, I do that b/c she has trouble seeing" You don't even know you are doing it at first. Some of the stuff that I did without knowing it where...saying "step" everytime we were walking around, holding hands with her behind me in bright sunlight so she would be in my shadow, or even using ramps instead of stairs b/c they are easier. In other words you just parent the child and everything will be just fine!!
I'm glad you are here doing the research and hope we can help ease your fears!