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Updated: Jan 18, 2026

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Published on: November 6, 2017
Visual Function in Alzheimer's Disease: Current Understanding and Potential Mechanisms Behind Visual Impairment
Tania Alvite-Piñeiro1,2, Maite López-López1,2, Uxía Regueiro1,2
1Corneal Neurodegeneration Group (RENOIR), Clinical Neurosciences Research Laboratory (LINC), Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain.
Alzheimer's disease (AD) affects vision through retinal and cortical changes. Assessing visual function may aid in diagnosing AD and predicting its progression, improving patient quality of life.
Area of Science:
- Ophthalmology
- Neurology
- Neuroscience
Background:
- Alzheimer's disease (AD) is a leading cause of dementia.
- The eye serves as a potential indicator of neurological disorders due to its connection with the brain.
- Ocular research in AD is gaining significance, revealing changes in various eye structures.
Purpose of the Study:
- To review and analyze current evidence on visual impairments in Alzheimer's disease.
- To explore the underlying mechanisms of these visual dysfunctions.
- To assess the potential of visual function as a diagnostic or prognostic tool for AD.
Main Methods:
- This study is a narrative review.
- It critically examines existing evidence on ocular alterations in AD patients.
- It explores the correlation between visual parameters and cognitive status.
Main Results:
- Decreased visual acuity, contrast sensitivity, and color vision are linked to retinal ganglion cell damage.
- Altered visual fields, ocular motility, and perception result from cortical changes.
- Visual function parameters often correlate with patients' cognitive status.
Conclusions:
- Visual impairments are significant in Alzheimer's disease, affecting the retina and visual cortex.
- Preserving visual function is crucial for maintaining patients' quality of life.
- Visual function assessment shows promise for AD diagnosis and progression prediction.
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