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Retinal phenotyping of variants of Alzheimer's disease using ultra-widefield retinal images

Csincsik, L; Quinn, N; Yong, KXX; Crutch, SJ; Peto, T; Lengyel, I; (2021) Retinal phenotyping of variants of Alzheimer's disease using ultra-widefield retinal images. Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring , 13 (1) , Article e12232. 10.1002/dad2.12232. Green open access

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Abstract

Background: Posterior cortical atrophy (PCA) is the most common atypical variant of Alzheimer's disease (AD). Changes associated with PCA in the brain affect the visual cortex, but little is known about retinal changes in PCA. In this study, we explored retinal phenotypic variations in typical AD (tAD) and PCA. Methods: Retinal phenotyping was carried out on ultra-widefield (UWF) images of 69 control, 24 tAD, and 25 PCA participants. Results: Individuals with tAD (odds ratio [OR] = 2.76 [confidence interval (CI):1.24 to 6.10], P = .012) and PCA (OR = 3.40 [CI:1.25 to 9.22], P = .016) were more likely phenotyped as hard drusen. tAD (OR = 0.34 [CI:0.12 to 0.92], P = .035) were less likely to have soft drusen compared to control. Almost 3-fold increase in reticular pseudodrusen formation in tAD (OR = 2.93 [CI:1.10 to 7.76], P = .030) compared to control was estimated. Discussion: Studying the peripheral retina may contribute to a better understanding of differences in retinal phenotypes of different AD variants.

Type: Article
Title: Retinal phenotyping of variants of Alzheimer's disease using ultra-widefield retinal images
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/dad2.12232
Publisher version: https://doi.org/10.1002/dad2.12232
Language: English
Additional information: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited
Keywords: Alzheimer's disease, drusen, peripheral reticular pigmentary degeneration, posterior cortical atrophy, reticular pseudodrusen, retinal imaging, retinal phenotype, sub‐retinal deposit, ultra‐widefield imaging
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Neurodegenerative Diseases
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of Engineering Science > Dept of Med Phys and Biomedical Eng
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10135820
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