Aim-To report the quantitation of the Lipid composition of a corneal b
utton from a Japanese woman in her 60s with clinically and histopathol
ogically proved Schnyder's corneal dystrophy. Methods-Total Lipids ext
racted from the corneal button of the patient were analysed by the met
hod of thin layer chromatography flame ionisation detection. Two diffe
rent solvent systems were used for neutral lipid analysis and phosphol
ipid analysis. Results were compared with three age matched corneal bu
ttons obtained from cadaveric eyes. Results-The Lipids that accumulate
d in the cornea in Schnyder's dystrophy consisted mainly of unesterifi
ed cholesterol and phospholipids. The analysis of phospholipids showed
sphingomyelin to be the predominant phospholipid in the patient's cor
nea. Conclusion-Findings suggest that this disorder involves a disturb
ance of the metabolism of cholesterol and/or sphingomyelin metabolism
that is Limited to the cornea.