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. Author manuscript; available in PMC: 2022 Jun 1.
Published in final edited form as: J Neuroophthalmol. 2020 Oct 28:10.1097/WNO.0000000000001140. doi: 10.1097/WNO.0000000000001140

Table 2.

Retinal Vascular Findings as Possible Image Biomarkers in AD spectrum

Retinal finding Imaging modality Advantage Disadvantage
VD in SVP and DVP10,3541,52,54 OCTA wide availability,
no pupil dilation
no standardized analysis,
requirement of clear ocular media
FAZ zone size36,40,41,54,56,57 OCTA wide availability
no pupil dilation
no standardized analysis,
requirement of clear ocular media
Vessel response to flicker68,69 Dynamic vessel analyzer dynamic analysis of vasodilatation no wide accessibility,
large vessels only
BFR74,75 Laser Doppler retinal blood flowmetry direct measurement of blood flow relative measurement of all flow information,
no synchronization of heartbeat,
larger vessels only
no wide accessibility
BFR78 RFI direct measurement of blood velocity and flow
measurements in venules and arterioles
synchronization of heat beat.
Bright visible light,
pupil dilation,
requirement of clear ocular media
no wide accessibility
RTP79 RFI direct measurement of tissue perfusion
direct measurement of blood velocity and flow
measurements in venules and arterioles
synchronization of heat beat.
Bright visible light,
pupil dilation,
requirement of clear ocular media
no wide accessibility
requirement of retinal tissue volume information

AD: Alzheimer’s disease; VD: vessel density, SVP; SVP: superficial vascular plexus; DVP; deep vascular plexus; OCTA: optical coherence tomography angiography; FAZ: foveal avascular zone; BFR: blood flow rate; RFI: retinal function imager; RTP: retinal tissue perfusion.