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Lretrnflmeanthicknessoct

Published: August 9, 2026Updated: August 17, 2026

A non-invasive eye imaging test that measures the thickness of the retinal nerve fiber layer in the left eye using optical coherence tomography (OCT).

Quick summary

{"Uses OCT technology to capture detailed cross-sectional images of the retina","Measures the thickness of the retinal nerve fiber layer (RNFL) around the optic nerve","Helps detect and monitor glaucoma and other optic nerve diseases","The test is quick, painless, and requires no blood sample","Results are compared with age-matched normal values to assess eye health"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
86290-4
Short code
RNFL-L-OCT
Synonyms
L ret RNFL mean thickness OCT
Category
cardiac
Sample
serum
Container
Not applicable - imaging procedure, not blood collection
Units
N/A
Ref low
90
Ref high
120
Critical range
50 N/A – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 18 years
Method
Optical Coherence Tomography (OCT)
CPT
92134
SNOMED
399550004
Specimen volume
Not applicable - imaging procedure
Stability
Not applicable - imaging procedure
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What is this test?

The Left Retina Retinal Nerve Fiber Layer (RNFL) Thickness Test is an advanced eye imaging examination that uses Optical Coherence Tomography (OCT) to measure the thickness of the retinal nerve fiber layer in your left eye. OCT is a non-invasive imaging technology that uses light waves to create detailed cross-sectional images of the retina, similar to how ultrasound uses sound waves.

How is the test performed?

During the test, you will sit in front of an OCT machine and rest your chin on a support. The machine will scan your left eye without touching it. You will need to look at a specific target while the scanner captures images. The entire procedure takes about 5-10 minutes and is completely painless. No eye drops or blood samples are required.

Why is RNFL thickness important?

The retinal nerve fiber layer consists of nerve fibers that carry visual information from the retina to the brain. Measuring its thickness helps doctors assess the health of your optic nerve. Thinning of the RNFL can indicate damage to the optic nerve, which is often associated with conditions like glaucoma.

Reference range

Normal Retinal Nerve Fiber Layer (RNFL) thickness ranges from 90-120 μm for mean thickness. Values below 80 μm may indicate early glaucomatous damage. Thickness varies by quadrant: superior (110-140 μm), nasal (60-80 μm), inferior (110-140 μm), temporal (50-70 μm).N/A

Specimen: serum

Patient should remove contact lenses prior to imaging. Pupils should be dilated for optimal imaging quality. Inform technician of any eye surgery history, glaucoma, or neurological conditions. Avoid caffeine and stimulants before the test as they may affect retinal blood flow.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings2

Frequently asked questions

Do I need to prepare for the test?
No special preparation is needed. You can eat and drink normally before the test. However, you should avoid wearing eye makeup on the day of the test as it may interfere with the imaging.
Is the test painful?
No, the test is completely painless. You may feel slight discomfort from keeping your eye open, but there is no pain or invasive procedure involved.
How long does it take to get results?
The actual scanning takes only a few minutes. Your doctor will analyze the images and discuss the results with you, usually during a follow-up appointment within a week.
Will I need this test repeatedly?
Yes, if you are being monitored for glaucoma or other optic nerve conditions, your doctor may recommend repeated testing to track changes in RNFL thickness over time. This helps evaluate whether treatment is working effectively.
Does the test involve radiation?
No, OCT uses light waves, not radiation. It is a safe imaging technique that can be repeated as needed without any radiation exposure risks.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy