Oculomics

Our work exploring how the eye links to systemic health

The eye is uniquely positioned among human organs in that it permits direct, non-invasive visualisation of both the vasculature and the central nervous system.

Given this property, ophthalmic structures have long been recognised as potential indicators of systemic health, particularly in relation to neurodegenerative and cardiovascular disease.

In our work - we use deep learning to explore what diseases we can predict using ophthalmic imaging (e.g. colour fundus photographs and optical coherence tomography), how accurate such predictions can be, and the biological mechanisms underpinning these relationships.

A range of Ophthalmic images have been shown to indicate underlying systemic disease, or risk of future systemic disease. Examples include optical coherence tomography with flow overlay ('OCT', left), colour fundus photography (middle) and OCT-angiography (OCT-A, right).
The field concerned with the relationship between the eye and systemic health has been termed 'Oculomics', and a wide range of disoders and traits have been identified to manifest in the eye or to be predictable based on ocular features.

Our group has undertaken a range of studies in this area, ranging from evidence synthesis(Julian et al., 2025) to disease prediction using a range of imaging modalities(Maldonado-Garcia et al., 2024), to exploring the biology that links the eye to the health of the brain and cardiovascular system using deep learning derived phenotypes and multi-omic datasets(Julian et al., 2025).

Moving forwards - we are working to develop large local datasets using routinely collected health data, run prospective studies exploring the performance of models in real-world settings, and to expand our methods to state-of-the-art techniques including leveraging large language models and synthetic data.

References

2025

  1. Ophthalmic imaging as a measure of cardiovascular and neurological health: a multi-omic analysis of deep-learning derived phenotypes
    Thomas H Julian, Haoran Dou, Jinming Duan, and 9 more authors
    medRxiv, 2025

2024

  1. Predicting risk of cardiovascular disease using retinal oct imaging
    Cynthia Maldonado-Garcia, Rodrigo Bonazzola, Enzo Ferrante, and 4 more authors
    arXiv preprint arXiv:2403.18873, 2024