Table 1.
Multiple changes in ocular parameters via ophthalmological assessments are associated with neurological disorders.
| Saccades | Pupillary/blinking response | RNFL | Microvasculature | ERG | |
|---|---|---|---|---|---|
| Autism | Decrease eye fixation at 2–6 months old (29); saccade dysmetria (11); impaired tracking of moving targets (33) | A longer latency of the blink reflex in high-functioning autism (63) | – | – | Decreased rod b-wave amplitude in flash ERG (30) |
| Alzheimer's disease | Poor eye fixation (35) | Delayed pupillary constriction (36, 60) | Reduced RNFL thickness especially in the superior quadrant (40, 41) | Narrower retinal venules and sparser and more tortuous retinal vessels (38) | Markedly decreased contrast sensitivity (37) |
| Schizophrenia | Performed worse in predictive, reflexive, and antisaccade tasks (64) | Blink rates are frequently elevated (65) | Thinning of RNFL (47, 48) | Widened retinal venules (46) | Abnormal ERG amplitudes including rods, cones, bipolar cells, and RGCs (53) |
| Major depression | Elevated error rates and increased reaction times (56, 57) | Reduced PIPR and a lower PIPR percent change in response to blue light in patients with SAD (59) | – | – | Significantly reduced contrast sensitivity using PERG (54, 55) |
Some similar features among these diseases further indicate a requirement of more precise analyses via machine learning and deep learning. ERG, electroretinogram; PERG, pattern electroretinogram; PIPR, post-illumination pupillary response; RNFL, retinal nerve fiber layer thickness; SAD, seasonal affective disorder.