Purpose: To determine the distribution of peripapillary retinal nerve fiber layer (RNFL) thickness and its association with different demographic and ocular parameters in adolescents.Methods: The present study is part of the second phase of the Shahroud Schoolchildren Eye cohort study, which was conducted in 2018 by reinviting the participants in the first phase. First, preliminary ocular examinations were performed, including measurement of uncorrected and best-corrected visual acuity, autorefraction, and subjective refraction. All study participants underwent corneal imaging using Pentacam to measure central corneal thickness and corneal radius of curvature (keratometry), ocular biometry using Allegro Biograph to measure anterior chamber depth, crystalline lens thickness, and axial length (AL), and finally optical coherence tomography imaging to measure RNFL thickness as well as macular thickness and volume.Results: The data of 4963 right eyes were analyzed after applying the exclusion criteria. The mean age of the study participants was 12.41 ± 1.72 (9 to 15) years. The mean total, superior, inferior,