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AI eye screening could reveal your risk of heart attack before symptoms appear – Here’s how

A new study reveals that retinal blood vessels can indicate overall health, including heart disease, diabetes, and aging markers. Experts suggest routine eye exams, enhanced by AI, could become vital for early detection and prevention of systemic diseases.

A recent study has highlighted a powerful link between eye health and cardiovascular wellness. According to research published in ScienceAdvances, the retina and its tiny blood vessels can act as a window into the body’s vascular system, providing insights into overall health, aging markers, and even lifespan. Experts are now emphasizing the importance of routine eye screenings not just for vision, but for early detection of systemic diseases.

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Eyes as a Diagnostic Tool for Heart and Metabolic Health

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Researchers have found that subtle changes in retinal blood vessels can indicate cardiovascular risks such as high blood pressure, heart disease, and stroke. Jacqueline Bowen, president of the American Optometric Association, explained that the networks of retinal vessels can help doctors predict, detect, prevent, and treat heart-related conditions. Individuals with simpler, less branched microvasculature were found to have higher inflammation, increased heart disease risk, and shorter lifespans.

Dr. Mahipal Singh Sachdev, chairman of the scientific committee at the Intraocular Implant and Refractive Society of India (IIRSI), noted that modern technology and artificial intelligence (AI) can now use retinal photographs to detect early signs of diabetic retinopathy and even provide cardiovascular insights. “Retinal blood vessels allow non-invasive detection of early signs of prediabetes, leukemia, and certain cancer-related changes,” he said.

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Routine Eye Exams Can Detect More Than Vision Problems

Ophthalmologists stress that retinal imaging during routine eye exams can reveal early warning signs of systemic conditions. Dilated eye exams, which widen the pupil to examine internal structures, allow clinicians to study blood vessels non-invasively. Because the retina shares similar vascular structures with the brain and kidneys, it provides a unique view of the body’s circulatory health.

Dr. Ritika Sachdev from Centre for Sight highlighted how improved imaging technology now allows eye screenings to reach rural areas, offering low-cost, non-invasive detection of diseases like diabetes. She emphasized that early detection is critical, particularly in India, which has been called the diabetes capital of the world.

Ophthalmology Advances and Public Health Implications

Experts at the 2025 IIRSI conference highlighted how ophthalmology has rapidly evolved. “Decades ago, cataract surgery was the mainstay,” said Dr. Shishir Agrawal. “Today, ophthalmology includes advanced imaging, LASIK, and new-generation intraocular surgeries, all transforming preventive care.”

Speakers also warned that rising screen time and air pollution pose growing risks to eye health. Protective eyewear, lubricating drops, and regular screenings were recommended as preventive measures. The IIRSI conference, themed “Hindsight. Insight. Foresight.,” hosted over 700 experts from India and abroad, discussing innovations in cataract, refractive, cornea, and anterior segment specialties.

Future In The Eyes

This study underscores the under-discussed but critical connection between eyes and overall health. With advancements in AI and retinal imaging, routine eye exams may soon become a crucial tool for predicting and preventing cardiovascular and metabolic diseases, making eye care an essential part of holistic health.

First published on: Nov 23, 2025 11:30 AM IST


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