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Graefes Arch Clin Exp Ophthalmol. 2004 May;242(5):428-31. Epub 2004 Jan 21.

Recurrent retinal vein occlusion after playing a wind instrument.

Author information

  • 1Department of Ophthalmology, Bonn University Eye Hospital, Germany.

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.

PMID:
14735367
[PubMed - indexed for MEDLINE]
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