Playing the oboe with glaucoma?
February 23, 2012 | 10,00 EUR | answered by Dr. med. Ralf Berg
Dear Sir or Madam,
I have been diagnosed with advanced glaucoma at the age of 34, and I am a smoker. I am an oboist and have read that playing a high-pressure instrument like the oboe can worsen glaucoma.
My intraocular pressure is 12-14 mmHg during regular eye examinations and treatment with Xalatan - therefore within the normal range. I have not noticed any visual field defects so far.
It is true that I can feel the pressure in my eyes increase when playing the instrument, especially during longer passages and high notes.
I have already asked my ophthalmologist about the risks, and she told me that there are no confirmed scientific findings regarding playing the oboe.
I am now quite puzzled and afraid that I may have to give up the instrument. What is your opinion on this matter?
Thank you very much!
Hello esteemed musician,
Playing the oboe has been shown to increase intraocular pressure and MAY worsen glaucoma.
There are already some scientific findings on this. (e.g. Glaukom aktuell 01/2002 p. 9, dissertation by Gunnar Schdtmann, FH-Lübeck, eye clinic at Uni Homburg, Prof. B. Käsmann, etc.) The risk is increased, although not significantly, even in studies that have a positive outcome, the significance is weak. Technique, and the type of pieces played apparently play a bigger role, as you may have already noticed, than the total time of playing.
It is generally recommended to have your eyes regularly and carefully examined to detect any progression. It goes without saying that the prophylaxis with drops must be applied precisely. If there is a deterioration, a break or worst-case scenario, giving up, should be considered. However, this does not seem to be common if treated carefully.
I would advise you to contact an ophthalmologist who specializes in treating musicians. These can be found in almost all major cities. Depending on your place of residence, start by contacting the medical association of your state.
They all have a website and usually an online directory of doctors.
So, there is a risk, but you shouldn't worry too much, especially if your condition remains stable. Be meticulous with the therapy and check-ups, and identify the critical points in the piece. Ask your colleagues if there are alternative embouchure or breathing techniques, or relaxation techniques to master these parts with as little pressure as possible.
With many regards,
Dr. R. Berg
