This case report details grade 3 keratoconjunctivitis sicca occurring after a single 177Lu-PSMA-617 infusion—remembering there is significant physiologic PSMA expression on lacrimal and salivary glands—successfully managed with multiple supportive meds including neomycin-polymyxin-dexamethasone ophthalmic drops, artificial tears, lubricating ointments, lid scrubs, and oral antihistamines. | Pepin, Pract Radiat Oncol 2024

