Deficits in basic visual capacities are prevalent in Alzheimer's disea
se (AD), raising the question of their impact on cognitive function. W
e examined the relation between vision and cognition in 72 patients wi
th AD. Vision tests assessed color discrimination, stereoacuity, contr
ast sensitivity, and backward pattern masking. For cognitive tests of
object recognition, at least 25% (up to 50%) of score variance was pre
dicted by performance on a vision test. For tests of spatial localizat
ion, only 2 to 11% of the variance was predicted by performance on a v
ision test. The results indicated that: (1) visual dysfunction was a s
ignificant predictor of cognitive dysfunction in AD, and (2) visual de
ficits in AD may have a strong functional impact on performance in spe
cific cognitive domains.