Sbeity Zaher H, Mansour Ahmad M
Department of Ophthalmology, Bonn University Eye Hospital, Germany.
Graefes Arch Clin Exp Ophthalmol. 2004 May;242(5):428-31. doi: 10.1007/s00417-003-0848-9. Epub 2004 Jan 21.
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.
介绍重复瓦尔萨尔瓦动作的一种并发症。
病例报告，伴有系列静脉荧光素血管造影及凝血功能障碍的全面检查。
一名独奏长号演奏者在演奏激烈的乐曲后，1年内右眼出现3次视力丧失发作；相隔2个月发生2次下半部视网膜中央静脉阻塞发作，10个月后发生视网膜中央静脉阻塞。最终最佳矫正视力为6/60。他结束了职业生涯，在接下来的10年里未再发作。
在高阻力乐器上演奏激烈乐曲后，可发生伴有不可逆视力丧失的视网膜静脉阻塞。
