Fluids Hypertension Syndromes: Migraines, Headaches, Normal ...

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 103
- Normal tension glaucoma, familial inheritance and excessive water and tea: We had a 44-yearold
miss, mulatta, Geography teacher, no husband and no child, 1.68 meters (5 feet and 6 inches) tall,
58 Kilograms (127 pounds). She had one grandmother and two uncles blind consequent to glaucoma.
She is vegetarian, uses homeopathy, practices Yoga and used to drink 4,500 milliliter (more than a gallon)
of water and tea daily, in order to prevent constipation. On the examination we found the necessity
of eye-glasses for near vision, shallows anterior chambers, intraocular pressures of 12 and 12 mmHg
right and left eyes at the office, and on ophthalmoscopy we found increased cups in both Optic Nerves’
disks, with 0,6/3/1/0 ( cup-disk diameter/ cup diopters depth/ visibility of lamina cribosa’s pores/ blurring
of borders). This configures a Suspicion of Normal (Peak) Tension Glaucoma caused by the excessive
drinks of water and tea, probably increasing her intraocular pressures when sleeping, because
she did not feel any sign or symptom at all.
X - H – Open-angle chronic Glaucoma and higher intraocular pressure with caffeine: “The Blue
Mountains Eye Study examined 3654 participants aged 49+ years in an area west of Sydney, Australia.
In participants with open-angle glaucoma, this study identified a positive cross-sectional association
between coffee consumption/higher caffeine intakes and elevated intraocular pressure.”
(Chandrasekaran S, and others).
Caffeine drinks rise the intraocular pressure on the following night, which is felt as headaches and
migraines on awakening. When the patient has some propensity or sensibility, after many years the caffeine
damages the Schlemm’s canal and the trabecular meshwork, causing the Chronic Primary Open-
Angle Glaucoma.
X – I - Other etiologies to the Glaucoma:
There are other etiologies that we did not make statistics, as the Valsalva maneuver, the cardiac patent
Foramen Ovale, smoking, and others, and some of them we analyze at the following chapters.