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Eskisehir Osmangazi University School of Medicine Department of Ophthalmology TURKEY Heidelberg retinal tomography is a device that has been used for more than 20 years for the diagnosis of glaucoma. Detection of glaucoma typically relies on examination of structural damage to the optic nerve combined with measurements of visual function. Diagnosis of glaucoma is difficult in some situations especially in patients with glaucoma suspect. Confocal scanning laser ophthalmoscopy provides reproducible 3-dimensional images of the optic disc and peripapillary retina. This imaging technology (Heidelberg retina tomograph-HRT), is widely used in the assessment of structural damage in glaucomatous optic disc and progression. The principal goals of HRT are to assist the user in discriminating between normal and glaucomatous discs and to identify progression. In this rewiev, technical characteristics, diagnostic accuracy of the confocal scanning laser ophthalmoscopy were evaluated. Keywords : Glaucoma, confocal scanning laser ophthalmoscopy, optic nerve head