Recurrent retinal vein occlusion after playing a wind instrument

Short Communication

DOI: 10.1007/s00417-003-0848-9

Cite this article as:
Sbeity, Z.H. & Mansour, A.M. Graefe's Arch Clin Exp Ophthalmol (2004) 242: 428. doi:10.1007/s00417-003-0848-9



To present a complication of repeated Valsalva maneuver.


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


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.


Retinal vein occlusion with irreversible visual loss can occur after playing a strenuous piece of music on a high-resistance instrument.

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  1. 1.Department of OphthalmologyBonn University Eye HospitalBonnGermany
  2. 2.Department of OphthalmologyAmerican University of BeirutBeirutLebanon