RT Journal Article T1 Exploratory Longitudinal Study of Ocular Structural and Visual Functional Changes in Subjects at High Genetic Risk of Developing Alzheimer’s Disease A1 López Cuenca, Inés A1 García Martín, Elena Salobrar A1 Barabash Bustelo, Ana A1 Nebreda Pérez, Alberto A1 Ramírez Toraño, Federico A1 Sánchez Puebla, Lidia A1 García Colomo, Alejandra A1 Fernández Albarral, José A1 Ramírez Sebastián, Ana Isabel A1 Ramírez Sebastián, José Manuel A1 Maestu Unturbe, Fernando A1 Salazar Corral, Juan José A1 Gil Gregorio, Pedro A1 Álvarez Gutierrez, María A1 Elvira Hurtado, Lorena A1 Matamoros, José A. A1 Hoz Montañana, María Rosa De AB This study aimed to analyze the evolution of visual changes in cognitively healthy individuals at risk for Alzheimer’s disease (AD). Participants with a first-degree family history of AD (FH+) and carrying the Ε4+ allele for the ApoE gene (ApoE ε4+) underwent retinal thickness analysis using optical coherence tomography (OCT) and visual function assessments, including visual acuity (VA), contrast sensitivity (CS), color perception, perception digital tests, and visual field analysis. Structural analysis divided participants into FH+ ApoE ε4+ and FH− ApoE ε4− groups, while functional analysis further categorized them by age (40–60 years and over 60 years). Over the 27-month follow-up, the FH+ ApoE ε4+ group exhibited thickness changes in all inner retinal layers. Comparing this group to the FH− ApoE ε4− group at 27 months revealed progressing changes in the inner nuclear layer. In the FH+ ApoE ε4+ 40–60 years group, no progression of visual function changes was observed, but an increase in VA and CS was maintained at 3 and 12 cycles per degree, respectively, compared to the group without AD risk at 27 months. In conclusion, cognitively healthy individuals at risk for AD demonstrated progressive retinal structural changes over the 27-month follow-up, while functional changes remained stable. PB MDPI SN 2227-9059 YR 2023 FD 2023-07-18 LK https://hdl.handle.net/20.500.14352/87403 UL https://hdl.handle.net/20.500.14352/87403 LA eng NO This article belongs to the Special Issue Neurodegenerative Diseases: Recent Advances and Future Perspectives.Received: 19 June 2023 ; Revised: 6 July 2023 ; Accepted: 12 July 2023 ; Published: 18 July 2023 NO Ministerio de Economía y Competitividad (España) NO Instituto de Salud Carlos III (España) NO Ministerio de Ciencia e Innovación (España) NO Ministerio de Economía (España) NO Universidad Complutense de Madrid DS Docta Complutense RD 10 may 2025