Rretrnfl4oclockthicknessoct
A non-invasive eye imaging test that measures the thickness of the nerve fiber layer in the right retina to detect early signs of glaucoma and other optic nerve diseases.
{"Uses optical coherence tomography (OCT) to create detailed images of the retina","Measures the retinal nerve fiber layer thickness at specific clock hours","Helps detect glaucoma and optic nerve damage before vision loss occurs","The test is quick, painless, and requires no special preparation","Results are compared to normative databases to identify abnormalities"}
Key facts at a glance
- LOINC
- 86308-4
- Short code
- RNFL-OCT-RH4
- Synonyms
- R ret RNFL 4 o'clock thickness OCT
- Category
- cardiac
- Sample
- serum
- Container
- Not applicable - this is an imaging test, not a blood collection
- Units
- N/A
- Ref low
- 70
- Ref high
- 110
- Critical range
- 40 N/A – 10000 N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- ≥ 18 years
- Method
- Optical Coherence Tomography (OCT)
- CPT
- 92134
- SNOMED
- 371625004
- Specimen volume
- Not applicable - imaging test
- Stability
- Not applicable - imaging test
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 24–72 hours
- Order
- routine
What is this test?
The Right Retina Retinal Nerve Fiber Layer (RNFL) Clock Hour 4 Thickness test is an advanced imaging procedure that uses Optical Coherence Tomography (OCT) to measure how thick the nerve fiber layer is in a specific area of your right eye. The retina contains layers of nerve cells that transmit visual information to your brain. The retinal nerve fiber layer (RNFL) is the innermost layer made up of nerve fiber axons that bundle together to form the optic nerve.
Why is clock hour 4 measured specifically?
The optic disc (where the optic nerve exits the eye) is divided into 12 equal sections like a clock face. Clock hour 4 corresponds to a specific region of the optic nerve head. Measuring thickness at this particular location helps doctors identify localized thinning or damage to the nerve fibers, which can be an early indicator of glaucoma or other optic neuropathies. Different clock hours may show damage earlier than others depending on the type of eye condition.
How is the test performed?
During the test, you will sit in front of the OCT machine and rest your chin on a support. The technician will ask you to look at a fixed target while the device scans your eye. The OCT machine uses harmless light waves to create cross-sectional images of your retina. The entire procedure takes about 5-10 minutes per eye and is completely painless. No eye drops or injections are required, and there is no radiation exposure.
What will the results show?
Your results will show the thickness measurement of the RNFL at clock hour 4 in microns (μm). The doctor will compare your measurement to a database of normal eyes to determine if your RNFL thickness is within normal range. Thinner than average RNFL may indicate nerve damage, while thicker than average measurements might suggest swelling or other abnormalities. The doctor will consider these results along with other eye exams to make a diagnosis.
Reference range
Normal Retinal Nerve Fiber Layer (RNFL) thickness at clock hour 4 ranges from 70 to 110 micrometers. Values below 50 micrometers suggest significant RNFL thinning suggestive of glaucoma or optic nerve pathology.N/A
Patient should remove contact lenses prior to imaging. Pupil dilation may be performed for better visualization but is not always required. Inform technician of any eye surgery history, glaucoma, or optic nerve disorders.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings2
Frequently asked questions
Does the test hurt?
Do I need to prepare for the test?
How long does it take to get results?
How often should I have this test?
What happens if my RNFL is thinner than normal?
Sources
- 1
- 2
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
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