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J Ophthalmic Vis Res. 2018 Jul-Sep;13(3):224-230. doi: 10.4103/jovr.jovr_155_17.

Visual Field Changes in Professional Wind versus Non-wind Musical Instrument Players in the Philadelphia Orchestra.

Journal of ophthalmic & vision research

Shuai-Chun Lin, Cindy X Zheng, Michael Waisbourd, Jeanne Molineaux, Lichuan Zeng, Tingting Zhan, Kamran Rahmatnejad, Arthur Resende, Anand V Mantravadi, Lisa A Hark, Marlene R Moster, Joseph I Markoff, George L Spaeth, L Jay Katz

Affiliations

  1. Wills Eye Hospital Glaucoma Research Center, Philadelphia, PA, USA.
  2. Division of Biostatistics, Department of Pharmacology and Experimental Therapeutics, Thomas Jefferson University, Philadelphia, PA, USA.
  3. Department of Ophthalmology, Columbia University Medical Center, New York, New York, USA.

PMID: 30090176 PMCID: PMC6058539 DOI: 10.4103/jovr.jovr_155_17

Abstract

PURPOSE: We compare the prevalence of glaucoma in professional wind versus non-wind instrument players in the Philadelphia Orchestra. Visual field changes in individuals with glaucoma and glaucoma suspects were evaluated, and the results were correlated with cumulative practice time.

METHODS: In this cross-sectional, observational study, fifty-one Philadelphia Orchestra musicians were enrolled and categorized as wind or non-wind instrument players. All study participants underwent screening fundus photography. Participants with optic discs suspicious for glaucoma underwent further evaluation, including standard automated visual field perimetry and a comprehensive eye examination by a glaucoma specialist.

RESULTS: Of the 51 musicians enrolled, 9 of the 21 wind instrument players (43%) and 8 of the 30 non-wind instrument players (27%) were suspected of developing glaucoma in at least one eye (

CONCLUSION: Among members of the Philadelphia Orchestra, the difference in prevalence of glaucoma suspicious optic discs between wind and non-wind instrument players was not significant. The clinical significance of the greater visual field mean defect found in wind instrument players, and the association between the degree of visual field mean defect and the cumulative practice-time of playing wind instruments, needs further investigation.

Keywords: Glaucoma; Visual Field; Wind Instruments

Conflict of interest statement

There are no conflicts of interest.

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