Isolated bovine cornea was found to reduce the 20 ketone group in fluo
rometholone (FML) to produce a mixture of 20 alpha- and 20 beta-dihydr
ofluorometholone (DHFML). Incubation of FML with bovine cornea at pH 7
.4 in phosphate buffer produced an increase in the amount of reduction
products up to 8 h;after this time the rate of reduction decreased. T
he reduced products were quantified by GC-MS against [H-2(3)] 20 alpha
-DHFML. Variable amounts of 20 beta-DHFML were detected in six samples
of human aqueous humour following topical application of 50 mu g of F
ML to the eye. The rapid metabolism of the side chain of FML may accou
nt for the unexpected low concentrations of FML which are found in hum
an aqueous humour following its application to the surface of the eye.