We describe a new, nonapplanating, real-time scanning slit confocal mi
croscope that produces unique real-time video images of the in vivo hu
man cornea. This new real-time slit scanning confocal microscope produ
ces en face, single-video-frame images (2-mum sections) with high cont
rast through the full thickness (500 mum) of the normal cornea. No fra
me averaging or digital image enhancement is required. The images of s
uperficial epithelial cells, wing cells, basal epithelial cells, corne
al innervation, nuclei of stromal keratocytes, and the cell bodies of
the stromal keratocytes in the posterior stromal region demonstrate th
e unique real-time imaging characteristics. The microscope is equipped
with water-immersion microscope objectives of high numerical aperture
. The microscope objective does not flatten or distort the cornea; a p
olymer gel is used to couple the microscope objective optically to the
cornea.