Diagnosing neurodegenerative disorders using retina as an external window: A systematic review of OCT-MRI...

BackgroundRecent studies have explored optical coherence tomography (OCT) and OCT-angiography (OCT-A) as biomarkers for Alzheimer's disease (AD). However, correlations between OCT/OCT-A and neurodegeneration metrics remain underexplored.ObjectiveWe performed a systematic review of OCT/OCT-A and structural brain imaging using MRI across various neurodegenerative disorders.MethodsWe searched Medline, Embase, and various other databases from January to June 2023 using keywords regarding neurodegenerative conditions and OCT/OCT-A. Out of 2962 citations. 93 articles were reviewed, and 28 met our inclusion criteria.ResultsLayer-or-region-specific retinal metrics were the most promising for non-vascular neurodegeneration, while vascular retinal parameters had the unique capacity to reflect vascular lesions. Both types of biomarkers correlated with global brain atrophy. Microstructural brain alterations best correlated with layer-specific thinning of retina.ConclusionsA better understanding of associations between retinal and brain lesions could eventually lead to the clinical application of retinal biomarkers for the early diagnosis of neurodegenerative conditions.