Playing the Bagpipes – A Risk Factor for Glaucoma Progression?

Background

There are several reports in the literature about fluctuations in intraocular pressure (IOP) while playing wind instruments and the possible risk for glaucoma [1], [2], [3], [4]. The suspected pathomechanism is a rise of intrathoracic venous pressure, which is transmitted through jugular, orbital, and vortex veins to the choroid, especially while playing high-resistance wind instruments [5]. It has been speculated that similar to a Valsalva maneuver, this may lead to vascular engorgement, with an increase in choroidal volume and a subsequent rise in IOP [1]. Additionally, the elevated venous pressure in episcleral veins may increase resistance to aqueous outflow [1], [6], [7]. Here, we report on a patient with glaucoma and evaluated IOP fluctuations during bagpipe play.

Publication History

Received: 30 August 2023

Accepted: 13 September 2023

Article published online:
23 April 2024

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