No abstract

Xerostomia is a common complication following radiotherapy for head and neck cancers. This has long-term implications on the quality of life of these patients. The better understanding of salivary function and the interaction of radiotherapy dose-volume and fractionation with salivary function has allowed us to intervene with various modalities to prevent or treat this common complication. Thus we present a review of published literature describing the factors affecting xerostomia, its prevention and treatment.

Symptomatic choroidal metastasis in a know case of metastatic lung carcinoma is rare. However recent onset blurring of vision in patient of lung carcinoma should raise strong suspicion for choroidal metastasis. Thorough ophthalmological evaluation including bilateral visual activity, fundoscopy, ultrasonography and magnetic resonance imaging of orbit should be done to establish the diagnosis, palliative external beam radiotherapy given for symptomatic choroidal metastasis leads to preservation of useful vision and functional independence if detected early and hence improved quality of life. We report a case of bilateral symptomatic choroidal metastasis at first sign of lung carcinoma with significant improvement of vision bilaterally after palliative radiotherapy.