Evidence map›Paper›PMID 31111251›Full record

Trial reportGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2019

Central retinal venous pressure is higher than intraocular pressure during amateur trumpet playing.

Egbert Matthé, Marie-Caroline Schlief, Sylvana Georgii, Richard Stodtmeister, Lutz E Pillunat, Hans-Christian Jabusch

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Egbert MatthéDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.
Marie-Caroline SchliefDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.
Sylvana GeorgiiDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.
Richard StodtmeisterDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany. Stodtmeister@t-online.de.ORCID http://orcid.org/0000-0002-8689-2913
Lutz E PillunatDepartment of Ophthalmology, University Hospital Carl Gustav Carus, TU Dresden, Augenklinik, Univ. Klinikum Carl Gustav Carus, Fetscherstrasse 74, 01307, Dresden, Germany.
Hans-Christian JabuschInstitute of Musicians' Medicine, Dresden University of Music Carl Maria von Weber, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been shown in the literature that the Valsalva manoeuvre influences ocular perfusion by changing intraocular pressure and central retinal venous pressure (CRVP). High-resistance wind instrument (HRWI) playing is a common situation resembling a Valsalva manoeuvre. The aim of this investigation was to explore the influence of amateur trumpet playing on CRVP.

methodsThe left eyes of 20 healthy non-professional trumpet players (median age 26, range 19-52 years; 17 males, 3 females) were included in this investigation. Subjects, sitting at a slit lamp, were asked to play the tone b' flat with their own mouthpiece on the same trumpet for at least 30 s with moderate loudness. The following data were obtained: intraocular pressure (IOP) by applanation tonometry before and during playing, CRVP by contact lens dynamometry before and during playing, airway pressure (AirP) using a pressure sensor during playing and blood pressure and heart rate using the common cuff method before and during playing.

resultsThe results are presented as the medians before vs during playing: a calculated mean ophthalmic artery pressure of 66 vs 72 mmHg, heart rate of 76 vs 82 beats per minute, airway pressure of 0 vs 17 mmHg, IOP 12 vs 13 mmHg and CRVP of 24 vs 55 mmHg (Wilcoxon test: p = 0.00009), respectively. A correlation between the CRVP during playing and the height of the spontaneous CRVP is noted (Spearman rank correlation coefficient: ρ = 0.68).

conclusionsAmateur trumpet playing increases CRVP, airway pressure and IOP. The increase in CRVP is greater than that of the intraocular pressure. The increase in CRVP seems to be more important for retinal perfusion changes during trumpet playing than the increase of IOP. It can be hypothesised that high airway pressure during playing may cause a permanent increase in CRVP, at least in a subgroup of trumpet players.

Indexed as

AdolescentAdultCentral Venous PressureFemaleGlaucomaHumansIntraocular PressureMaleMiddle AgedPilot ProjectsRetinaRisk FactorsTonometry, OcularValsalva ManeuverYoung AdultAirwayDynamometryGlaucomaIntraocular pressurePerfusion pressureRetinal venous pressureWind instrument

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.