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

This test uses OCT imaging to measure the thickness of the inferior retinal nerve fiber layer in the right eye, helping detect early signs of glaucoma and optic nerve damage.

Quick summary

{"A non-invasive eye scan that measures retinal nerve fiber layer thickness","Helps detect glaucoma and other optic nerve disorders early","Takes only a few minutes with no pain or discomfort","Results are compared to normative databases by age","Regular testing helps monitor disease progression"}

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

Key facts at a glance

LOINC
86283-9
Short code
RNFL-inf-OD
Synonyms
R ret RNFL inf thickness OCT
Category
cardiac
Sample
serum
Container
Not applicable - this is an imaging test, not a blood collection
Units
N/A
Ref low
100
Ref high
140
Critical range
70 N/A – 10000 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–100 years
Method
Optical Coherence Tomography (OCT)
CPT
92134
SNOMED
420576001
Specimen volume
Not applicable - ocular imaging test
Stability
Not applicable - images are captured in real-time
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
1–24 hours
Order
routine

This test measures the different types of cells in your blood, including red blood cells, white blood cells, and platelets. It provides valuable information about your overall health and helps detect conditions such as anemia, infection, and blood clotting problems.

Optical Coherence Tomography (OCT) is a non-invasive imaging test that uses light waves to take cross-section pictures of your retina. The Right Retina RNFL Inferior Thickness test specifically measures the thickness of the retinal nerve fiber layer (RNFL) in the lower (inferior) portion of your right eye. The retinal nerve fiber layer consists of nerve fibers that carry visual information from the retina to the brain.

For this test, a healthcare professional will draw a small sample of blood from a vein in your arm using a needle. The procedure is quick and usually takes just a few minutes. You may feel a slight pinch when the needle goes in, but the discomfort is minimal. The blood is collected into a tube and sent to a laboratory for analysis.

During the test, you will sit in front of an OCT machine and rest your chin on a support. The technician will align the machine with your right eye. You will be asked to focus on a target light while the device scans your eye. The process is completely painless, takes only a few minutes, and requires no injections or drops. No special preparation is needed before the test.

This test is important because it can help your doctor diagnose, monitor, or rule out a variety of medical conditions. It is often part of a routine checkup and can reveal issues like infections, anemia, or disorders of the blood. Early detection through this test allows for timely treatment and better management of your health.

Measuring the RNFL thickness helps ophthalmologists detect changes in the optic nerve before significant vision loss occurs. This test is particularly valuable for diagnosing and monitoring glaucoma, as the disease often causes thinning of the RNFL. Early detection allows for timely treatment to prevent further vision damage.

Reference range

Normal inferior retinal nerve fiber layer (RNFL) thickness ranges from 100-140 micrometers (μm) in healthy adult eyes. Values below 100 μm may indicate early glaucomatous damage, while values below 80 μm suggest significant nerve fiber loss.N/A

Specimen: serum

No special preparation required. Patient should remove eye makeup and contact lenses before the scan. Pupillary dilation may be performed for better image quality. Inform the technician of any eye conditions, surgeries, or recent eye injuries.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

The inferior RNFL thickness measurement is clinically significant because glaucoma and other optic neuropathies often affect specific quadrants of the retinal nerve fiber layer first. Thinning of the RNFL may indicate early glaucomatous damage even before visible vision loss occurs. Comparing your results to age-matched normal databases helps determine if the thickness is within normal limits or shows abnormal thinning requiring treatment. Serial testing over time helps track disease progression and treatment effectiveness.

Frequently asked questions

Does the test hurt?
No, the OCT test is completely painless and non-invasive. You will not feel anything during the scan. Some patients may experience mild discomfort from keeping still, but there is no pain or discomfort from the light used in the imaging process.
How long does the test take?
The actual scanning process takes only about 1-2 minutes per eye. However, you should plan for about 10-15 minutes including preparation and positioning time.
Do I need to do anything to prepare for the test?
No special preparation is required. You can eat and drink normally before the test. If you wear glasses or contact lenses, you may need to remove them for the scan. Inform your doctor about any eye conditions or medications you are taking.
When will I get my results?
Your ophthalmologist will analyze the images and discuss the results with you during a follow-up appointment, typically within a week of the test. The results will show your RNFL thickness measurements compared to normal values for your age.
How often should this test be repeated?
The frequency depends on your eye condition. For glaucoma patients, testing is typically repeated every 6-12 months to monitor disease progression. Your doctor will recommend an appropriate testing schedule based on your individual situation.
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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