title: [A saxophonist with severe glaucoma; stop playing or not?].
abstract: BACKGROUND
  Glaucoma is a disease of the eye in which the level of intraocular pressure (IOP) determines the rate of disease progression to an important extent. A less well known cause of IOP elevation is playing a wind instrument.
  
  
  METHODS
  In a 49-year-old man with only one functional eye suffering from advanced glaucoma in the other eye, IOP appeared to double when he played the saxophone. He was advised to stop playing; this advice had serious consequences as the patient was a professional musician.
  
  
  CONCLUSIONS
  Despite limited scientific evidence this advice seems justifiable on account of the patient's relatively young age and the advanced glaucoma .
authors.affiliation: Diakonessenhuis, afd. Oogheelkunde, Utrecht/Zeist.
authors.forename: Martine I
authors.initials: MI
authors.lastname: van Angelen
authors.forename: Jan H
authors.initials: JH
authors.lastname: van Angelen
authors.forename: Richard H C
authors.initials: RH
authors.lastname: Zegers
mesh_terms: D005901:Glaucoma / Q000150:complications*; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology*; D008297:Male; D008875:Middle Aged; D009146:Music; D009784:Occupational Diseases / Q000209:etiology*; D009798:Ocular Hypertension / Q000209:etiology*; D014065:Tonometry, Ocular; D014786:Vision Disorders / Q000209:etiology
vernacular_title: Ernstig glaucoom bij een saxofonist; stoppen met spelen of niet?