The Eyes Are the Window to the Brain: Retinal Changes Linked to Cognitive Function in Elderly Adults

Published on November 16, 2022

Just like how a house with a cracked foundation can indicate structural issues, changes in the retina of the eye may provide clues about cognitive decline and brain changes in elderly adults. A study examined the connection between retinal thickness, microvasculature, and cognitive performance in aging individuals. By using specialized imaging techniques, researchers measured retinal nerve fiber layer (mRNFL), ganglion cell-inner plexiform layer (GCIPL) thickness, and the superficial and deep vascular complex (SVC/DVC) of the retina. The results showed that thicker mRNFL and smaller SVC/DVC were associated with better cognitive performance, as assessed by measures such as the Shape Trail Test and the Montreal Cognitive Assessment. Additionally, certain brain volumes, such as the hippocampus, were also correlated with retinal changes. These findings suggest that examining the eyes could serve as an early indicator of cognitive decline, allowing for timely intervention and treatment. To learn more about the fascinating link between retinal structure and cognitive function in aging adults, check out the research!

BackgroundRetinal structural and microvascular changes can be visualized and have been linked with cognitive decline and brain changes in cerebral age-related disorders. We investigated the association between retinal structural and microvascular changes with cognitive performance and brain volumes in elderly adults.Materials and methodsAll participants underwent magnetic resonance imaging (MRI), and a battery of neuropsychological examinations. Macula retinal thicknesses (retinal nerve fiber layer, mRNFL, and ganglion cell-inner plexiform layer, GCIPL) were imaged and measured with swept-source optical coherence tomography (SS-OCT) while Optical Coherence Tomography Angiography (OCTA) imaged and measured the superficial vascular complex (SVC) and deep vascular complex (DVC) of the retina.ResultsOut of the 135 participants, 91 (67.41%) were females and none had dementia. After adjusting for risk factors, Shape Trail Test (STT)-A correlated with SVC (P < 0.001), DVC (P = 0.015) and mRNFL (P = 0.013) while STT-B correlated with SVC (P = 0.020) and GCIPL (P = 0.015). mRNFL thickness correlated with Montreal Cognitive Assessment (MoCA) (P = 0.007) and Stroop A (P = 0.030). After adjusting for risk factors and total intracranial volume, SVC correlated with hippocampal volume (P < 0.001). Hippocampal volume correlated (P < 0.05) with most cognitive measures. Stroop B (P < 0.001) and Stroop C (P = 0.020) correlated with white matter volume while Stroop measures and STT-A correlated with gray matter volume (P < 0.05).ConclusionOur findings suggest that the retinal structure and microvasculature can be useful pointers for cognitive performance, giving a choice for early discovery of decline in cognition and potential early treatment.

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