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Quantitative Assessment of the Retina Using OCT and Associations with Cognitive Function
Yoshikazu Ito1, Mariko Sasaki2, Hiroki Takahashi3
1Department of Ophthalmology, Keio University, Tokyo, Japan.
Macular retinal thickness, not peripapillary, is linked to dementia in older Japanese adults. Optical coherence tomography (OCT) measurements of the macula may serve as a biomarker for cognitive function assessment.
Area of Science:
- Ophthalmology
- Neurology
- Gerontology
Background:
- Cognitive decline and dementia are significant public health concerns in aging populations.
- Retinal structure, particularly nerve fiber layer thickness, has been explored as a potential indicator of neurological health.
Purpose of the Study:
- To investigate the association between various retinal thickness measurements and cognitive function in elderly Japanese individuals.
- To determine if macular or peripapillary retinal measurements are more strongly associated with cognitive status.
Main Methods:
- A cross-sectional, population-based study involving 975 Japanese participants aged 65-86.
- Spectral-domain optical coherence tomography (SD-OCT) was used to measure macular retinal nerve fiber layer (mRNFL), ganglion cell-inner plexiform layer (GC-IPL), ganglion cell complex (GCC), and full macular thickness.
- Cognitive function was assessed using standard tests, categorizing participants into Normal, mild cognitive impairment (MCI), and dementia groups.
Main Results:
- Full macular thickness and GCC thickness were inversely associated with the presence of dementia after adjusting for confounders.
- Specific inferior sectors of the GC-IPL, GCC, and full macular thickness showed significant associations with dementia.
- Peripapillary retinal nerve fiber layer (ppRNFL) thickness was not significantly associated with dementia in this cohort.
Conclusions:
- Macular retinal thickness measurements, particularly GCC and full macular thickness, are associated with cognitive function and dementia.
- OCT-derived macular parameters may be more valuable than ppRNFL measurements for detecting neurodegenerative changes and serving as a biomarker for cognitive health.
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