Looking Through the Eye and into Alzheimer’s Disease

The retina can reveal subtle signs of disease long before cognitive and behavioral symptoms appear.

Medicine

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This Article From Issue

March-April 2026

Volume 114, Number 2
Page 104

DOI: 10.1511/2026.114.2.104

A person visiting an eye doctor for an annual exam sits in front of a desktop machine equipped with a chin rest, headrest, and eyepiece. The patient is told to hold still while one eye, then the other, is briefly scanned by an infrared light–based method that captures more than a thousand remarkably detailed cross-sectional images of the retina within seconds.

QUICK TAKE
  • Alzheimer's disease is difficult to diagnose in its early stages because it begins with a long “silent” period that produces no obvious changes in health, behavior, or cognition.
  • Screening people who are known to be at risk before they exhibit symptoms would open new opportunities for treatment to halt, slow, or more effectively manage the disease.
  • Subtle changes in the retina, which can be detected via a routine eye exam years before the full onset of Alzheimer’s disease, may offer an affordable, noninvasive screening method.
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