Treatment options for patients with metastatic castration-resistant prostate cancer include use of radioligand therapy with 177LuPSMA-617. 177Lu-PSMA-617 is used to target prostate cancer cells selectively by targeting prostate specific membrane antigen (PSMA); however, PSMA is also expressed on lacrimal glands among other tissues. Herein, we report on a case of a Common Terminology Criteria for Adverse Events version 5 grade 3 dry eye event with concomitant blepharitis after administration of 177Lu-PSMA-617. The patient was managed with neomycin-polymyxin-dexamethasone 3.5-10000-0.1 ophthalmic suspension, artificial tears, lubricating ointments, lid scrubs, and oral antihistamines. (c) 2024 American Society for Radiation Oncology. Published by Elsevier Inc. All rights reserved.
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Univ Washington, Dept Radiol, Div Nucl Med, Seattle, WA USAUniv Southern Calif, Keck Sch Med, Div Nucl Med, Los Angeles, CA 90007 USA
Iravani, Amir
Bodei, Lisa
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Mem Sloan Kettering Canc Ctr, Dept Radiol, Mol Imaging & Therapy Serv, New York, NY USAUniv Southern Calif, Keck Sch Med, Div Nucl Med, Los Angeles, CA 90007 USA
Bodei, Lisa
Calais, Jeremie
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Univ Calif Los Angeles, Dept Mol & Med Pharmacol, Los Angeles, CA USAUniv Southern Calif, Keck Sch Med, Div Nucl Med, Los Angeles, CA 90007 USA