Current literature suggests that the pathology of schizophrenia (SCZ) has developmental origins. However, the neurodevelopmental theory of SCZ cannot solely explain several progressive neurodegenerative processes in the illness. There is evidence of accelerated cognitive decline and increased risk of developing dementia in elderly patients with SCZ. Investigating beta-amyloid (Aβ) as a measure of neurodegeneration, we conducted a systematic review focusing on Aβ in patients with SCZ. An OVID literature search using PsychINFO, Medline and Embase database was conducted, looking for studies that compared Aβ levels between patients with SCZ and either elderly controls, patients with AD, or patients with other psychiatric illnesses. Among 14 identified studies, 11 compared Aβ levels between SCZ and elderly controls, seven between SCZ and AD, three between SCZ and other psychiatric illnesses. As a result, no evidence was found suggesting that Aβ levels differ in patients with SCZ from elderly controls or patients with other psychiatric illnesses. All of the seven studies reported lower cortical Aβ levels in patients with SCZ than patients with AD. Furthermore, three out of the four studies, which investigated the relationship between Aβ levels and cognitive impairment in SCZ, observed no association between two factors. The limitations of the included studies are small sample sizes, the inclusion of CSF Aβ or postmortem plaques rather than cortical Aβ assessment in-vivo, and the investigation of different brain regions. In conclusion, Aβ deposition is not associated with cognitive decline in late-life SCZ. Future studies should investigate other neurodegenerative indicators such as oxidative stress and apoptosis dysregulation in SCZ to better understand the pathophysiological mechanisms underlying this illness.