TY - INPR JF - Progress in Retinal and Eye Research KW - Artificial intelligence KW - Big data KW - Disease detection KW - Disease prediction KW - Oculomics KW - Retinal imaging KW - Systemic diseases A1 - Zhu, Zhuoting A1 - Wang, Yueye A1 - Qi, Ziyi A1 - Hu, Wenyi A1 - Zhang, Xiayin A1 - Wagner, Siegfried K A1 - Wang, Yujie A1 - Ran, An Ran A1 - Ong, Joshua A1 - Waisberg, Ethan A1 - Masalkhi, Mouayad A1 - Suh, Alex A1 - Tham, Yih Chung A1 - Cheung, Carol Y A1 - Yang, Xiaohong A1 - Yu, Honghua A1 - Ge, Zongyuan A1 - Wang, Wei A1 - Sheng, Bin A1 - Liu, Yun A1 - Lee, Andrew G A1 - Denniston, Alastair K A1 - Wijngaarden, Peter van A1 - Keane, Pearse A A1 - Cheng, Ching-Yu A1 - He, Mingguang A1 - Wong, Tien Yin ID - discovery10205883 N2 - The eye provides novel insights into general health, as well as pathogenesis and development of systemic diseases. In the past decade, growing evidence has demonstrated that the eye's structure and function mirror multiple systemic health conditions, especially in cardiovascular diseases, neurodegenerative disorders, and kidney impairments. This has given rise to the field of oculomics- the application of ophthalmic biomarkers to understand mechanisms, detect and predict disease. The development of this field has been accelerated by three major advances: 1) the availability and widespread clinical adoption of high-resolution and non-invasive ophthalmic imaging (?hardware?); 2) the availability of large studies to interrogate associations (?big data?); 3) the development of novel analytical methods, including artificial intelligence (AI) (?software?). Oculomics offers an opportunity to enhance our understanding of the interplay between the eye and the body, while supporting development of innovative diagnostic, prognostic, and therapeutic tools. These advances have been further accelerated by developments in AI, coupled with large-scale linkage datasets linking ocular imaging data with systemic health data. Oculomics also enables the detection, screening, diagnosis, and monitoring of many systemic health conditions. Furthermore, oculomics with AI allows prediction of the risk of systemic diseases, enabling risk stratification, opening up new avenues for prevention or individualized risk prediction and prevention, facilitating personalized medicine. In this review, we summarise current concepts and evidence in the field of oculomics, highlighting the progress that has been made, remaining challenges, and the opportunities for future research. SN - 1350-9462 PB - Elsevier BV UR - https://doi.org/10.1016/j.preteyeres.2025.101350 N1 - © The Author(s), 2025. This is an Open Access article distributed under the terms of the Creative Commons Attribution Licence (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/ TI - Oculomics: Current Concepts and Evidence AV - public Y1 - 2025/03/04/ ER -