A method for rapid OCT image acquisition includes acquiring by OCT a plurality of compressive measurements (y) representing a set of under-sampled OCT data in a Dirac domain below a Nyquist rate by sampling an object of interest at randomly spaced vertical and horizontal lines in a Cartesian geometry using a raster scan, and recovering a 3D volumetric OCT image (f) from the compressive measurements (y) using compressive sampling. The method may also include recovering the 3D volumetric OCT image (f) from the compressive measurements (y) based at least in part on a sparsifying matrix (S) capable of transforming the 3D volumetric OCT image (f) into a sparse representation, such as a matrix representation of the 3D volumetric OCT image (f) in a shift-invariant wavelet transform domain. The method may also be applied to radial OCT scan patterns.