Deposits of specific proteins are believed to cause a large group of degenerative diseases. Given that the neurodegenerative
disease, prion, is an infectious protein deposit disorder, a common theme of degeneration mediated by toxic aggregates has
been developed. However, the mechanisms of cellular toxicity induced by protein deposits remain a mystery and although new
diseases are being added to the list and treatments for these diseases remain elusive. Alzheimer's disease (AD) and age-related
macular degeneration (AMD) are two prototypic neurodegenerative diseases that are characterized by extracellular protein deposits
in the brain and the eye, respectively. Indeed, the amyloid β peptide (Aβ) deposited in the core of senile plaques and cerebrovascular
amyloid of AD are also found in drusen—extracellular deposits found between the retinal pigmented epithelium (RPE) and Bruch's
membrane—of patients suffering from AMD. Since amyloid deposits in the brain are fostered by multiple genetic and environmental
factors that cause AD, and certain forms of Aβ are neurotoxic, it has been attributed a central place in the pathogenesis
of AD. Finding Aβ in the drusen suggests that the two diseases may share common pathogenic mechanisms and that lessons learnt
from one disease can be applied to the other even though clinically AD does not appear to increase the risk of AMD and vice
versa. However, AD patients suffer an increase in the risk of glaucoma, a retinal disease affecting the ganglion cells that
collect the integrated information from the eye and communicate with the brain via the optic nerve. Since the cause and mechanisms
of neurodegeneration are poorly understood in both diseases, this is a very important fundamental and unanswered question.
In this chapter, we discuss the salient features of AD and retinal degeneration (including AMD and glaucoma) and attempt to
integrate the major features to identify common pathogenic pathways that cause both diseases.