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Part Description

LP248912-0   Retinal nerve fiber layer
The RNFL is formed from expansion of the fibers of the optic nerve and extends to the interior surface of the retina. The RNFL is divided into 4 quadrants when measured in each eye - temporal, superior, nasal, and inferior. Each 90 degree quadrant is further divided into three 30 degree sectors ("clock hours"). RNFL measurements include the thickness of each quadrant and the thickness of each sector. The mean thickness of the entire RNFL for each eye is calculated based on the individual measurements. In patients with glaucoma, RNFL changes in the inferior quadrant are most closely associated with glaucoma status. In addition, superior visual field defects, which correspond to the inferior RNFL quadrant, are usually the first to appear. PMID: 10636409 Source: Regenstrief LOINC

Reference Information

TypeSourceReference
CitationAmerican Academy of OphthalmologyAmerican Academy of Ophthalmology Retina Panel. Preferred Practice Pattern® Guidelines. Diabetic Retinopathy. San Francisco, CA: American Academy of Ophthalmology; 2008. Available at: www.aao.org/ppp. Preferred Practice Pattern Guidelines-American Academy of Ophthamology

LOINC Names Get Info

Fully-Specified Name
Optic disc or retinal nerve fiber layer structural abnormalities:Find:Pt:Eye.right:Ord:Ophthalmoscopy
Long Common Name
Right eye Optic disc or retinal nerve fiber layer structural abnormalities by Ophthalmoscopy
Short Name
Opt disc ret nerv abnor Eye-R Ophthal

Part Model Get Info

  • Component
    Optic disc or retinal nerve fiber layer structural abnormalities
    LP149842-9
    • Analyte
      Optic disc or retinal nerve fiber layer structural abnormalities
      LP149842-9
      • Component Numerator
        Optic disc or retinal nerve fiber layer structural abnormalities
        LP149842-9
        • Component Numerator Core
          Optic disc or retinal nerve fiber layer structural abnormalities
          LP149842-9
        • Component Numerator Core Suffix
          NULL
           
      • Component Denominator
        NULL
         
        • Component Denominator Core
          NULL
           
        • Component Denominator Core Suffix
          NULL
           
    • Challenge
      NULL
       
    • Adjustment
      NULL
       
    • Count
      NULL
       
  • Property
    Find
    LP6813-2
  • Time
    Pt
    LP6960-1
  • System
    Eye.right
    LP7220-9
    • System Core
      Eye.right
      LP7220-9
    • Super System
      NULL
       
  • Scale
    Ord
    LP7751-3
  • Method
    Ophthalmoscopy
    LP149841-1

Normative Answer List: LL2118-9

Source: American Academy of Ophthalmology
AnswerCodeScoreAnswer ID
Diffuse thinning, focal narrowing, or notching of the optic disc rim, especially at the inferior or superior polesLA18649-6
Documented, progressive thinning of the neuroretinal rim with an associated increase in cupping of the optic discLA18650-4
Diffuse or localized abnormalities of the peripapillary retinal nerve fiber layer, especially at the inferior or superior polesLA18651-2
Optic disc rim or peripapillary retinal nerve fiber layer hemorrhagesLA18652-0
Optic disc neural rim asymmetry of the two eyes consistent with loss of neural tissueLA18653-8

Basic Attributes

Class
EYE.PX
Type
Clinical
First Released
Version 2.40
Last Updated
Version 2.68 (MIN)
Order vs. Observation
Observation

Language Variants Get Info

TagLanguageTranslation
el-GRGreek (Greece)Δομικές ανωμαλίες οπτικού δίσκου ή της στιβάδας των νευρικών ινών του αμφιβληστροειδούς:Εύρεση:Pt:Οφθαλμός.δεξιός:Ord:Οφθαλμοσκόπηση
Synonyms: EYE EYE.PX Ord Pt Αμφιβληστροειδής Δομικές ανωμαλίες οπτικού δίσκου ή της στιβάδας των νευρικών ινών του αμφιβληστροειδούς Εύρεση Οφθαλμός Οφθαλμός.δεξιός Οφθαλμοσκόπηση
es-MXSpanish (Mexico)Anomalías estructurales del disco óptico o de la capa de fibras nerviosas de la retina:Tipo:Punto temporal:Ojo derecho:Ordinal:Ophthalmoscopy
it-ITItalian (Italy)Anomalie strutturali del disco ottico o dello strato delle fibre nervose della retina:Osservazione:Pt:Occhio.destro:Ord:Oftalmoscopia
Synonyms: attraverso oftalmoscopia Occhio Occhio Destro Oftalmologia - risultati di esami clinici Osservazione Punto nel tempo (episodio)
zh-CNChinese (China)视乳头或者视网膜神经纤维层结构异常:发现:时间点:眼睛.右侧:序数型:检眼镜检查法
Synonyms: Eye physical findings;眼.体格检查所见;眼科.体格检查所见;眼科学与验光变量.体格检查所见;眼科学与验光指标.体格检查所见;眼部体格检查所见;眼部检查所见 R RT 依次型;分类顺序型;定性的;序数型（或称等级型）;性质上的;有序型;有序性分类应答;有序性分类结果;秩次型;等级型;筛查;顺序型 发现是一个原子型临床观察指标，并不是作为印象的概括陈述。体格检查、病史、系统检查及其他此类观察指标的属性均为发现。它们的标尺对于编码型发现可能是名义型，而对于叙述型文本之中所报告的发现，则可能是叙述型。;发现物;所见;结果;结论 右 右侧（Right，R，RT） 右侧的 右侧眼睛;右眼 右向 右向的 右边 右边的 向右 向右的 时刻;随机;随意;瞬间 检眼镜检查;眼膜曲率镜检查;检眼屈光镜检查;检眼镜检查;眼底检查法;检眼镜检查方法 瑞叮醛;维生素 A 醛;维生素 A1 醛;视杆视色素;视醛;视黄素 目;眼;眼部 眼;眼睛;眼科;眼科学与验光变量;眼科学与验光指标 视乳头（视神经盘）或者视网膜神经纤维层结构异常（反常、不规则、畸形、异形、异常性、反常性）

LOINC Terminology Service (API) using HL7® FHIR® Get Info

CodeSystem lookup
https://fhir.loinc.org/CodeSystem/$lookup?system=http://loinc.org&code=71487-3