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Published in: Graefe's Archive for Clinical and Experimental Ophthalmology 5/2004

01-05-2004 | Short Communication

Recurrent retinal vein occlusion after playing a wind instrument

Authors: Zaher H. Sbeity, Ahmad M. Mansour

Published in: Graefe's Archive for Clinical and Experimental Ophthalmology | Issue 5/2004

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Abstract

Purpose

To present a complication of repeated Valsalva maneuver.

Methods

Case report with serial intravenous fluorescein angiography and comprehensive workup for coagulopathies.

Results

After playing strenuous musical pieces, a solo trombonist suffered within 1 year three attacks of visual loss in the right eye; he had two attacks of inferior hemi-central retinal vein occlusion 2 months apart, followed by central retinal vein occlusion 10 months later. Final best spectacle-corrected visual acuity was 6/60. He ended his professional career, and no further attacks occurred in the following 10 years.

Conclusion

Retinal vein occlusion with irreversible visual loss can occur after playing a strenuous piece of music on a high-resistance instrument.
Literature
1.
go back to reference Aydin P, Oram O, Akman A, Dursun D (2000) Effect of wind instrument playing on intraocular pressure. J Glaucoma 9:322–324PubMed Aydin P, Oram O, Akman A, Dursun D (2000) Effect of wind instrument playing on intraocular pressure. J Glaucoma 9:322–324PubMed
2.
go back to reference Dickerman RD, Smith GH, Langham-Roof L, McConathy WJ, East JW, Smith AB (1999) Intra-ocular pressure changes during maximal isometric contraction. Does this reflect intra-cranial pressure or retinal venous pressure? Neurol Res 21:243–246PubMed Dickerman RD, Smith GH, Langham-Roof L, McConathy WJ, East JW, Smith AB (1999) Intra-ocular pressure changes during maximal isometric contraction. Does this reflect intra-cranial pressure or retinal venous pressure? Neurol Res 21:243–246PubMed
3.
go back to reference Hayreh SS, Hayreh MS (1980) Hemi-central retinal vein occulsion. Pathogenesis, clinical features, and natural history. Arch Ophthalmol 98:1600–1609PubMed Hayreh SS, Hayreh MS (1980) Hemi-central retinal vein occulsion. Pathogenesis, clinical features, and natural history. Arch Ophthalmol 98:1600–1609PubMed
4.
go back to reference Hayreh SS, Zimmerman MB, Podhajsky P (1994) Incidence of various types of retinal vein occlusion and their recurrence and demographic characteristics. Am J Ophthalmol 117:429–441PubMed Hayreh SS, Zimmerman MB, Podhajsky P (1994) Incidence of various types of retinal vein occlusion and their recurrence and demographic characteristics. Am J Ophthalmol 117:429–441PubMed
5.
go back to reference Khan JC, Hughes EH, Tom BD, Diamond JP (2002) Pulsatile ocular blood flow: the effect of the valsalva manoeuver in open angle and normal tension glaucoma: a case report and prospective study. Br J Ophthalmol 86:1089–1092CrossRefPubMed Khan JC, Hughes EH, Tom BD, Diamond JP (2002) Pulsatile ocular blood flow: the effect of the valsalva manoeuver in open angle and normal tension glaucoma: a case report and prospective study. Br J Ophthalmol 86:1089–1092CrossRefPubMed
6.
go back to reference Klein R, Klein B, Moss SE (2000) The epidemiology of retinal vein occlusion: the Beaver Dam Eye Study. Trans Am Ophthalmol Soc 98:133–136PubMed Klein R, Klein B, Moss SE (2000) The epidemiology of retinal vein occlusion: the Beaver Dam Eye Study. Trans Am Ophthalmol Soc 98:133–136PubMed
7.
go back to reference Kocak N, Kaynak S, Kaynak T, Oner HF, Cingil G (2003) Unilateral Purtscher-like retinopathy after weight-lifting. Eur J Ophthalmol 13:395–397PubMed Kocak N, Kaynak S, Kaynak T, Oner HF, Cingil G (2003) Unilateral Purtscher-like retinopathy after weight-lifting. Eur J Ophthalmol 13:395–397PubMed
8.
go back to reference Liu S, Hayden GF (2002) Maladies in musicians. Southern Med J 95:727–734 Liu S, Hayden GF (2002) Maladies in musicians. Southern Med J 95:727–734
9.
go back to reference Lockwood AH (1989) Medical problems of musicians. N Engl J Med 320:221–227PubMed Lockwood AH (1989) Medical problems of musicians. N Engl J Med 320:221–227PubMed
10.
go back to reference Pott F, van Lieshout JJ, Ide K, Madsen P, Secher NH (2000) Middle cerebral artery blood velocity during a valsalva maneuver in the standing position. J Appl Physiol 88:1545–1550PubMed Pott F, van Lieshout JJ, Ide K, Madsen P, Secher NH (2000) Middle cerebral artery blood velocity during a valsalva maneuver in the standing position. J Appl Physiol 88:1545–1550PubMed
11.
go back to reference Pratikto TH, Zwetschke V, Goyen M, Kroger K (2002) Recurrent exercise induced subclavian vein thrombosis in a conductor. Vasa 31:209–211PubMed Pratikto TH, Zwetschke V, Goyen M, Kroger K (2002) Recurrent exercise induced subclavian vein thrombosis in a conductor. Vasa 31:209–211PubMed
12.
go back to reference Schipper I (1991) Valsalvamanöver: Nicht immer gutartig. Klin Mbl Augenheilkd 198:457–459 Schipper I (1991) Valsalvamanöver: Nicht immer gutartig. Klin Mbl Augenheilkd 198:457–459
13.
go back to reference Schuman JS, Massicotte EC, Connolly S, Herzmark E, Mukherji B, Kunen MZ (2000) Increased intraocular pressure and visual field defects in high resistance wind instrument players. Ophthalmology 107:127–133CrossRefPubMed Schuman JS, Massicotte EC, Connolly S, Herzmark E, Mukherji B, Kunen MZ (2000) Increased intraocular pressure and visual field defects in high resistance wind instrument players. Ophthalmology 107:127–133CrossRefPubMed
Metadata
Title
Recurrent retinal vein occlusion after playing a wind instrument
Authors
Zaher H. Sbeity
Ahmad M. Mansour
Publication date
01-05-2004
Publisher
Springer-Verlag
Published in
Graefe's Archive for Clinical and Experimental Ophthalmology / Issue 5/2004
Print ISSN: 0721-832X
Electronic ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-003-0848-9

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