Spatial localization in tissue sections has traditionally focused on protein distribution and relied on the use of immunohistochemistry. The assessment of lipid spatial distribution has been even more diffi cult as immunohistochemical methods are not available. Matrix-assisted laser desorption/ionization (MALDI) mass spectrometry imaging (MSI) has been developed and successfully used for spatial localizations of proteins, peptides, and lipids ( 1, 2 ). MSI generates two-dimensional molecular maps from particular ions, which are directly desorbed/ionized from the surface of the tissue ( 2, 3 ). This gives an opportunity to detect molecules of interest at multiple points in whole tissue sections. MSI allows for precise localization of chemical information in a tissue section, and this is the main reason the technique has become a popular tool in bioanalytical, biological, and medicinal chemistry. Several MS-based methods have been developed for molecular imaging of lipids in tissues. The main focus has been on traditional ionization techniques based on desorption/ ionization in a vacuum, mainly secondary ion mass spectrometry (SIMS) ( 4, 5 ) and MALDI ( 6 ). However, ambient ionization techniques, such as desorption electrospray (DESI) ( 7-9 ) or desorption atmospheric pressure photo ionization (DAPPI) ( 7 ), were also introduced for lipid imaging of tissue sections.MALDI MSI has been used for molecular imaging of proteins in ocular lenses. To the best of our knowledge, only a few studies discuss the spatial distribution of lens proteins, namely, the integral lens protein aquaporin and its truncation products ( 10, 11 ) and ␣ -crystallin ( 1, 12 ). Interestingly, it seems that protein modifi cations, such as Abstract The intraocular lens contains high levels of both cholesterol and sphingolipids, which are believed to be functionally important for normal lens physiology. The aim of this study was to explore the spatial distribution of sphingolipids in the ocular lens using mass spectrometry imaging (MSI). Matrix-assisted laser desorption/ionization (MALDI) imaging with ultra high resolution Fourier transform ion cyclotron resonance mass spectrometry (FT-ICR MS) was used to visualize the lipid spatial distribution. Equatorially-cryosectioned, 12 m thick slices of tissue were thaw-mounted to an indium-tin oxide (ITO) glass slide by soft-landing to an ethanol layer. This procedure maintained the tissue integrity. After the automated MALDI matrix deposition, the entire lens section was examined by MALDI MSI in a 150 m raster. We obtained spatial-and concentration-dependent distributions of seven lens sphingomyelins (SM) and two ceramide-1-phosphates (CerP), which are important lipid second messengers. Glycosylated sphingolipids or sphingolipid breakdown products were not observed. Owing to ultra high resolution MS, all lipids were identifi ed with high confi dence, and distinct distribution patterns for each of them are presented. The distribution patterns of SMs provide an understanding of the physiological functioni...