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Ophthalmology · Glaucoma: OCT RNFL
Sample itemWhich test objectively measures retinal nerve fibre layer thickness to detect glaucoma before field loss?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Optical coherence tomography
OCT gives micron resolution images of the RNFL and ganglion cell layer, detecting structural loss before functional field defects. Perimetry assesses function. Gonioscopy views the angle.
Option by option
A. Gonioscopy
Gonioscopy assesses angle structures.
B. Goldmann perimetry
Perimetry assesses visual field function.
C. Optical coherence tomography (correct)
Correct. OCT measures RNFL thickness.
D. A-scan ultrasonography
A-scan measures axial length.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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