There is provided a novel and improved optical body, method for manufacturing an optical body, light-emitting apparatus, and image display apparatus capable of improving emitted luminance and transparency, the optical body including: a base material; and a light extraction section, formed on at least one surface of the base material, that extracts internally propagated light incident inside the base material from a side face of the base material to an outside of the base material. The light extraction section includes a concave-convex structure in which at least one of concavities and convexities has a frustum shape, a fill ratio of the concave-convex structure is 15% or greater, and a light transmittance is 50% or greater.