A diagnostic and therapeutic contact lens is provided for use with the slit lamp or other biomicroscope for the examination and treatment of the structures of the eye including that of the fundus and anterior chamber. The lens comprises a contacting portion adapted for placement on the cornea of an examined eye, two reflecting surfaces and a refracting portion. Light rays emanating from structures within the eye pass through the cornea and contacting portion of the lens and first reflect from the anterior reflecting surface as a positive reflection in a posterior direction. Following the first reflection the light rays reflect as a positive reflection in an anterior direction from the posterior reflecting surface to a refracting portion through which the light rays exit the lens. The lens focuses the light rays to produce a real image of the examined structures of the eye anterior of the lens or within the lens or element of the lens while optimally directing the light rays to the objective lens of the slit lamp or other biomicroscope for stereoscopic viewing and image scanning.