Alzheimer disease (AD), age-dependent dementia characterized by irreversible and progressive loss of memory and cognition, shows an approximately 11.3% prevalence in patients aged 65 years and older in the United States [1]. The prevalence of dementia was reported to be 10.2% in the Republic of Korea, of which approximately 74.5% were diagnosed with AD [2]. Both reports showed that the incidence of AD increases with age and that the prevalence of AD is expected to increase until 2050. The cause of AD is not completely understood [3], and its patho-The amyloid hypothesis has been considered a major explanation of the pathogenesis of Alzheimer disease. However, failure of phase III clinical trials with anti-amyloid-beta monoclonal antibodies reveals the need for other therapeutic approaches to treat Alzheimer disease. Compared to its relatively short history, optogenetics has developed considerably. The expression of microbial opsins in cells using genetic engineering allows specific control of cell signals or molecules. The application of optogenetics to Alzheimer disease research or clinical approaches is increasing. When applied with gamma entrainment, optogenetic neuromodulation can improve Alzheimer disease symptoms. Although safety problems exist with optogenetics such as the use of viral vectors, this technique has great potential for use in Alzheimer disease. In this paper, we review the historical applications of optogenetic neuromodulation with gamma entrainment to investigate the mechanisms involved in Alzheimer disease and potential therapeutic strategies.