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Confocal microscopy of ocular tissue provides two advantages over traditional imaging technique: increased range and transverse resolution, and increased contrast. The semitransparent cornea and ocular lens in the living eye can be optically sectioned and observed by reflected light confocal microscopy. Within the cornea, we observed various cell components, nerve fibers, nerve cell bodies, and fibrous networks. The confocal microscopic images from the in-situ ocular lens show the lens capsule, the lens epithelium, and the individual lens fibrils. All of the reflected light confocal microscopic images have high contrast, and high resolution. Some of the applications of confocal imaging in ophthalmology include: diagnostics of the cornea and the ocular lens, examination prior to and after refractive surgery, examination of intraocular lenses (IOL), and examination of eye bank material. Other ophthalmic uses of confocal imaging include: studies of wound healing, therapeutics, and the effects of contact lenses on the cornea. The proposed features of a clinical confocal microscope are reviewed.