Eye Exams Detect Alzheimer’s Disease Years Before Symptoms Appear
Reproduced from original article:
https://articles.mercola.com/sites/articles/archive/2025/10/01/eye-exams-detect-alzheimers-early.aspx
Analysis by Dr. Joseph Mercola October 01, 2025

Story at-a-glance
- More than 7 million Americans live with Alzheimer’s today, and researchers project that number will rise to 13 million by 2050, doubling the burden on families
- Researchers at the Jackson Laboratory (JAX) discovered twisted, narrowed retinal vessels in mice carrying a common gene mutation, showing changes that resemble early Alzheimer’s signs years before memory decline begins
- They also found disrupted protein activity in both brain and retina, weakening energy production and vessel support, creating the conditions for Alzheimer’s long before symptoms appear
- Visual sensitivity testing in over 8,000 adults predicted dementia risk up to 12 years ahead, showing how everyday vision struggles may signal hidden brain changes
- Regular eye exams, better sleep, balanced carbohydrates, healthy fats, sunlight exposure, and methylene blue support offer practical steps to strengthen vessel health and protect your brain
More than 7 million Americans are now living with Alzheimer’s disease, a condition characterized by progressive memory loss, confusion, and changes in behavior that worsen over time. Alzheimer’s is the most common form of dementia, and according to researchers, this number will reach 13 million by 2050, creating an enormous medical and social burden.1
However, emerging research provides a revolutionary shift in the early detection of Alzheimer’s — according to the studies, a simple eye exam might be able to provide the first visible evidence of this disease, long before traditional symptoms appear. This opens the door to a safer and more accessible screening method, as well as gives hope in better management of the condition.
The Blood Vessels in Your Retina May Reveal Alzheimer’s Risk
A recent animal study published in Alzheimer’s & Dementia journal explored if changes in the eye’s blood vessels could act as early warning signs of Alzheimer’s disease, allowing routine eye exams to reveal this disease years before symptoms set in.2
Conducted by researchers at the Jackson Laboratory (JAX), the research focused on the retina, the light-sensitive layer of tissue at the back of your eye, to determine if abnormal blood vessel patterns in the eye could serve as a clear biomarker for brain changes linked to dementia.3
“Most people over 50 have some kind of vision impairment and get checked annually for prescription changes,” Alaina Reagan, a neuroscientist and one of the study authors, explained. “Are they more at risk if they have these vascular changes, and is that a point when doctors could start mitigating brain changes? That could be 20 years before cognitive damage becomes noticeable to patients and their families.”
• The research was conducted on mice bred with a specific genetic mutation — Called MTHFR677C>T, this common mutation causes the mice to develop “twisted vessels, narrowed arteries, and reduced branching in the retina,” as early as 6 months of age. These conditions closely resemble the vascular abnormalities seen in human Alzheimer’s patients, and are strongly associated with impaired blood flow and cognitive decline.4 Up to 40% of people have this similar mutation.
• Researchers observed striking details in these retinal changes — Unlike the smooth, organized vascular networks typically found in healthy eyes, the altered vessels appeared tangled and distorted. Because the retina and brain share nearly identical tissue, changes in one mirror changes in the other.
“If you’re at an optometrist or ophthalmologist appointment, and they can see odd vascular changes in your retina, that could potentially represent something that is also happening in your brain, which could be very informative for early diagnostics,” Reagan said.
“Your retina is essentially your brain, but it’s much more accessible because your pupil is just a hole, and we can see tons of stuff. All the cells are very similar, all the neurons are quite similar, all the immune cells are quite similar, and they behave similarly under pressure if you’ve got a disease.”
• The problems in the eye went beyond twisted blood vessels — According to the researchers, there was disrupted protein activity in both the brain and retina, too. Proteins are the body’s workers — they manage energy production, clear out waste, and help maintain strong vessel structures.
So when their activity is disrupted, those systems break down, meaning your brain and eyes lose their ability to properly fuel cells, clear out harmful byproducts, and keep vessels strong — setting the stage for Alzheimer’s disease.
• The study also highlighted important differences between male and female mice — Females fared much worse than their male counterparts. By the age of 12 months — roughly middle age for mice — they had fewer blood vessel branches and lower vessel density in their retinas.
This detail is striking because it parallels what doctors already see in humans — women across the globe experience higher rates of dementia compared to men.5 Age was another factor that changed the picture, as the retinal disruptions grew more severe as the mice got older.
• The research team is now working to apply these animal findings to humans — They are partnering with Northern Light Acadia Hospital in Maine to test whether similar retinal changes show up in patients carrying the same gene mutation.6 If they succeed, it means an optometrist could one day spot Alzheimer’s risk with a simple retinal exam decades before symptoms surface.
This research transforms routine eye care into a powerful tool to protect your brain health. Having an early warning system built into something you’re already doing opens up a pathway to earlier treatment — and better outcomes become far more realistic.
Genetics Shape How Your Eyes Age and Reveal Brain Health Risks
The researchers of the featured study have also conducted previous research on how genetic differences affect the way eyes age and how those changes connect to brain health. Their findings, published in Molecular Neurodegeneration earlier this year, investigated whether the retina could show signs of aging that mirror what happens in the brain. Their goal was to determine if specific genetic backgrounds create distinct retinal changes that could predict neurological decline.7,8
• The study involved nine genetically diverse strains of mice — All mice showed some form of retinal aging, but the type and severity of changes differed dramatically between groups.
• The researchers found how varied retinal aging can be — In one strain called Watkins Star Line B (WSB), the mice developed signs of age-related macular degeneration and retinitis pigmentosa, both are serious eye diseases that damage vision over time. In another strain known as New Zealand Obese (NZO), which is prone to metabolic dysfunction, the animals developed diabetic retinopathy, a condition where high blood sugar damages blood vessels in the eye.
• These differences were not random — They were predictable. Molecular changes in the eye accurately forecast which type of degeneration would occur. According to Gareth Howell, a professor at JAX and the study’s lead author:
“There’s more to the eyes than just simply seeing you. By understanding how the healthy eye ages in different genetic contexts, we may be able to determine people’s risk of developing diseases like Alzheimer’s.”9
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Visual Sensitivity Loss Can Signal Alzheimer’s Risk Years Ahead
These studies from the JAX team are not the first to look at the connection between eye health and dementia risk. In 2024, researchers from Loughborough University in the U.K. released a study on how vision testing could reveal Alzheimer’s risk — as early as 12 years before diagnosis.
The study, which was published in the Scientific Reports journal, focused on whether reduced visual sensitivity — the ability to detect fine details, contrast, or subtle changes in the environment — could act as a long-term predictor of dementia. Instead of relying only on brain scans or memory tests, the researchers suggested that eye-based assessments could be paired with standard psychological tests to strengthen early detection.10
• The study population included more than 8,000 adults who have participated in the EPIC-Norfolk Prospective Population Cohort Study — The participants’ eyesight was tested years before they developed symptoms of Alzheimer’s, via computerized visual sensitivity training, which involves assessing a person’s visual processing speed and reaction time. Ahmet Begde, Ph.D., a doctoral researcher at Loughborough University and one of the study researchers, said:
“Visual sensitivity refers to an individual’s ability to detect and process visual information accurately and efficiently. We decided to investigate visual sensitivity as a predictor of dementia because previous research has shown that individuals with dementia often experience visual processing deficits, even in the early stages of the condition.”11
• The details of the findings showed a strong predictive link — Participants with lower visual sensitivity were far more likely to develop Alzheimer’s within the following decade compared to those with normal visual processing.
“A loss of visual sensitivity can lead to various difficulties in perceiving and processing visual information, such as difficulty recognizing objects or faces, struggles with reading or navigating in familiar environments, and challenges in perceiving visual details or contrasts,” Begde explained. “For example, a person with reduced visual sensitivity may have difficulty reading street signs while driving.”12
But this isn’t just about needing glasses or having blurry vision — it was about how the brain interprets what your eyes see. It means struggles with reading, judging distances, driving safely, or distinguishing between colors could be more than just frustrating — they might signal changes in your brain long before memory problems begin.
• Specific improvements came from combining vision tests with traditional neuropsychological exams — Alone, each type of test gives useful information, but when paired, they created a much clearer picture of future dementia risk.
• So what’s the biological explanation for these findings? This is because when Alzheimer’s develops, beta-amyloid plaques — sticky protein clusters linked to cell damage — disrupt both the brain and the pathways that process vision. This disruption reduces the efficiency of visual signaling, which shows up as difficulty detecting fine details or contrasts.
Another mechanism involves how the brain clears waste proteins. Inefficient clearance allows buildup that clogs communication between cells, especially in areas tied to vision.
• These results are unsurprising — In a Medical News Today article, Dr. Alexander Solomon, a surgical neuro-ophthalmologist and strabismus surgeon from California, comments that the findings of this study are actually consistent with what he sees in his patients every day. “It isn’t hard to imagine that as the brain is compromised by a process like dementia, some portions that help process our vision are affected,” he said.13
Practical Steps to Protect Your Eyes and Brain from Alzheimer’s
If you are worried about Alzheimer’s, the most important thing to understand is that the root cause of the damage is not memory loss itself — it starts years earlier with broken-down energy systems in your cells, blocked protein clearance, and weakened blood vessels in both the brain and the eyes. When you address these causes head-on, you give yourself a fighting chance to slow down or even prevent the decline. That’s why what you do today matters. Here are five steps I recommend you start putting into practice.
1. Lower your risk from hidden vascular stress — If you have high blood pressure, diabetes, or a family history of stroke or dementia, your blood vessels are under extra pressure. These same vessels feed your retina and your brain, so keeping them strong is key.
Eliminate seed oils and processed foods from your diet, as they damage vessel walls, and replace them with tallow, ghee, or grass fed butter. I also recommend adding regular movement into your lifestyle, such as walking every day, to keep your circulation healthy and blood vessels flexible.
2. Balance your carbohydrates to protect energy production — Your brain and retina run on energy, and that energy depends on carbs. I recommend eating 250 to 300 grams of clean carbohydrates daily, unless you are very active and need more.
Start with fruit, fruit juice with pulp, or root vegetables before you try complex starches. If you have gut problems, sip dextrose water slowly throughout the day. This keeps your mitochondria producing energy smoothly, which is foundational for preventing the decline that shows up in Alzheimer’s.
3. Clear out protein waste before it builds up — To help your body clear out waste proteins, you need efficient sleep and strong circadian rhythms. Expose yourself to sunlight in the morning to reset your internal clock, and avoid blue light screens at night. If you sleep poorly, your brain doesn’t clear out the sticky amyloid that clogs your neurons. I recommend making high-quality sleep a priority because it’s when your brain takes out the trash.
4. Strengthen your retina with regular eye exams — If you are over 50, getting regular annual eye test is essential to help identify early warning signs of Alzheimer’s or dementia. Treat the exam as your early-warning radar, and keep track of results, just like you would monitor blood sugar or cholesterol.
5. Use sunlight and methylene blue to support cellular energy — Your retina and brain cells both rely on strong mitochondrial function to stay alive and sharp. Safe sun exposure helps your cells produce energy directly — however, you need to make sure to eliminate all seed oils from your diet for four to six months before going out during peak sunlight hours. Otherwise, the linoleic acid (LA) in these oils can become embedded in your skin and oxidize under UV rays, causing DNA damage.
Meanwhile, methylene blue, in its pharmaceutical-grade capsule form, has been shown to reduce reductive stress at doses as low as 5 mg once a day. If you spend time in the sun and use methylene blue safely, you give your cells a double advantage — more energy, less stress, and a stronger defense against the breakdowns that fuel Alzheimer’s progression. Read more about it in this article: “Methylene Blue Is Beneficial for Slowing Skeletal Aging and Treating Brain Disorders.”
Frequently Asked Questions (FAQs) About Eye Exams and Alzheimer’s Detection
Q: How are eye exams connected to Alzheimer’s disease?
A: Research shows that twisted, narrowed, or poorly branching vessels in the retina resemble the same abnormalities that occur in the brains of people with Alzheimer’s disease. Because the retina is essentially an extension of your central nervous system, changes in the eye strongly mirror changes in the brain. Detecting these abnormalities during a routine exam could provide an early warning sign of Alzheimer’s years — sometimes even decades — before memory loss or confusion begins.
Q: What role do genetics play in Alzheimer’s risk shown through the eyes?
A: Genetics play a powerful role in shaping how your eyes and brain age. One mutation in particular, called MTHFR677C>T, affects up to 40% of people and disrupts blood vessel health. Studies on mice carrying this mutation revealed twisted, narrowed vessels and reduced branching in the retina, which closely resemble the vascular damage seen in Alzheimer’s patients. These abnormalities impair blood flow, restrict oxygen delivery, and contribute to cognitive decline.
Q: Are women at greater risk for Alzheimer’s-related eye changes?
A: Yes, women tend to face higher risks both in the brain and in the eye. Research on mice carrying the Alzheimer’s-linked mutation showed that females developed much more severe retinal damage than males. By 12 months of age — roughly middle age for mice — females already had fewer blood vessel branches and significantly lower vessel density. This directly parallels what doctors see in humans: women worldwide develop dementia at higher rates than men.
Q: Can vision problems predict dementia before memory issues appear?
A: Yes, vision problems often signal brain changes years before memory loss begins. A large study from Loughborough University followed more than 8,000 adults and tested their visual sensitivity, which is the ability to detect fine details, contrasts, and subtle changes in the environment. Those with reduced visual sensitivity were much more likely to develop Alzheimer’s within the following decade.
Q: What practical steps support eye and brain health to reduce Alzheimer’s risk?
A: First, reduce vascular stress by eliminating seed oils and eating healthier fats like tallow or grass fed butter. Second, balance your carbohydrates — your brain and retina need 250 to 300 grams daily for steady energy. Third, clear protein waste by prioritizing high-quality sleep and getting morning sunlight to reset your circadian rhythm.
Fourth, schedule annual eye exams and ask your doctor to check vessel health, treating it as an early-warning system. Finally, strengthen your cellular energy with safe sun exposure and pharmaceutical-grade methylene blue at 5 mg daily, which helps reduce reductive stress. Together, these steps give you more control over your long-term health, turning routine habits into a defense strategy against Alzheimer’s progression.
- 1 Alzheimer’s Association, Alzheimer’s Disease Facts and Figures
- 2 Alzheimer’s & Dementia, August 2025, Volume 21, Issue 8, e70501
- 3 Medical Xpress, August 26, 2025
- 4 Interesting Engineering, August 26, 2025
- 5, 6 Neuroscience News, August 26, 2025
- 7 Mol Neurodegeneration, 2025, 20, 8
- 8, 9 The Jackson Laboratory, May 4, 2025
- 10 EPIC-Norfolk. Sci Rep, 2024, 14, 5016
- 11, 12, 13 Medical News Today, April 18, 2024