Recurrent retinal vein occlusion after playing a wind instrument
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- Sbeity, Z.H. & Mansour, A.M. Graefe's Arch Clin Exp Ophthalmol (2004) 242: 428. doi:10.1007/s00417-003-0848-9
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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.