June 2017
Volume 58, Issue 8
Open Access
ARVO Annual Meeting Abstract  |   June 2017
Prevalence of glaucoma and visual field changes in professional wind versus non-wind instrument players in the Philadelphia Orchestra
Author Affiliations & Notes
  • Shuai-Chun Lin
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Cindy Xin Zheng
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Michael Waisbourd
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Jeanne Molineaux
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Lichuan Zeng
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Ting Ting Zhan
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Kamran Rahmatnejad
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • ARTHUR RESENDE
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Anand Mantravadi
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Lisa A Hark
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Joseph I Markoff
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • George L. Spaeth
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • L. Jay Katz
    Ophthalmology, Wills Eye Hospital, Wynnewood, Pennsylvania, United States
  • Footnotes
    Commercial Relationships   Shuai-Chun Lin, None; Cindy Zheng, None; Michael Waisbourd, None; Jeanne Molineaux, None; Lichuan Zeng, None; Ting Ting Zhan, None; Kamran Rahmatnejad, None; ARTHUR RESENDE, None; Anand Mantravadi, None; Lisa Hark, None; Joseph Markoff, None; George Spaeth, None; L. Jay Katz, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science June 2017, Vol.58, 3708. doi:
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      Shuai-Chun Lin, Cindy Xin Zheng, Michael Waisbourd, Jeanne Molineaux, Lichuan Zeng, Ting Ting Zhan, Kamran Rahmatnejad, ARTHUR RESENDE, Anand Mantravadi, Lisa A Hark, Joseph I Markoff, George L. Spaeth, L. Jay Katz; Prevalence of glaucoma and visual field changes in professional wind versus non-wind instrument players in the Philadelphia Orchestra. Invest. Ophthalmol. Vis. Sci. 2017;58(8):3708.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : To compare the prevalence of glaucoma and glaucoma suspects in professional wind versus non-wind instrument players in the Philadelphia Orchestra. A secondary objective was to evaluate visual field changes in participants with glaucoma and glaucoma suspects, and correlate results with cumulative practice time.

Methods : Philadelphia Orchestra members were categorized as wind or non-wind instrument players. All study participants underwent screening eye examinations including intraocular pressure (IOP) using iCare tonometer (iCare, Helsinki, Finland) and fundus photography with the Volk Pictor Digital Retina Camera (Optomed Oy Ltd., Oulu, Finland). Participants with optic discs suspicious for glaucoma and high IOP had further evaluation for confirmation, including standard automated perimetry (Octopus 300, Haag-Streit Inc, Bern, Switzerland) and a comprehensive eye examination by a glaucoma specialist. The main outcome measures were the presence or absence of a glaucomatous optic disc and visual field mean defect.

Results : Of the 51 musicians enrolled, there were 9 (9/21, 43%) wind instrument players and 6 (6/30, 20%) non-wind instrument players diagnosed as glaucoma suspect in at least one eye (P=0.44) (Figure 1). Twelve (12/15, 80%) musicians returned for a confirmation eye examination. Wind instrument players had significantly greater Octopus visual field mean defect scores (1.08±1.5 dB) compared to non-wind instrument players (-0.43±0.7 dB; P<0.001). There was a statistically significant association between cumulative hour playing wind instruments and visual field mean defect in the multivariable model (increase in VF MD by 0.07 dB for every 1000 hours increase in cumulative practicing hour, P<0.001) (Figure 2).

Conclusions : 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. Therefore, 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, need further investigation.

This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.

 

 

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