The present disclosure describes systems and methods to select fovea containing optical coherence tomography (OCT) images. The systems and methods described herein receive a plurality of OCT images. The portion of the OCT images are selected for further processing, where a line tracing the border between the retina and non-retina tissue is generated. A difference of the line is generated. Candidate OCT images are then generated responsive to the generated difference line. The lowest point among each difference lines generated for each of the OCT images is identified, and the OCT image to which the lowest point corresponds is identified as the fovea containing OCT image.