Optical coherence tomography (OCT) has been used as a non-invasive and easily applicable tool to evaluate structural changes of the retina and optic nerve in a wide spectrum of neurodegenerative diseases including the most common trinucleotide expansion SCAs, particularly in SCA-ATXN1 [33], SCA-ATXN3 [34], SCA-ATXN7 [23], or a mixed SCA cohort (SCA-ATXN1,2,3 or SCA-CACNA1A) [26]. The gene discussed is ATXN7; the disease is autosomal dominant cerebellar ataxia.