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

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Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 192 Macular edema and initial Age-related Macular Degeneration caused by caffeine and beer: On the year 2001 we had a 22 year-old salesman, short and stout, with 1.68 meters tall (5 feet and 6 inches), weighting 79 kilograms (174 pounds). He had an Hispanic mother, and his father was descendant of Portuguese, Black and Indian: he was a Brazilian White. He was complaining only of a sudden small hemorrhage on the white (sclera) of his right eye. He was a drinker of 2,500 milliliters (a little more than 5 pints) of water and beer daily. He presented no other complaint or event. On ophthalmological examination we found the small hemorrhage, and on direct ophthalmoscopy his both Optic Nerve’s disks show 0.5/3/0/0 (cup diameter/ cup depth/ lamina cribosa’s pores visibility/ borders edema), which is a discrete damage from the intraocular pressure rise. His intraocular pressures in the office were 14 mmHg in both eyes. We recommended him to shorten his water and beer drinks and prescribed Vitamin “A” 50,000 units per mouth each day, for 30 days. On the year 2004, with 25-year-old, he came complaining of a sudden blurred vision on the center of his right eye, without other complaints. He was drinking daily caffeinated cola diet, and beer around 4 days in a week. On direct ophthalmoscopy we found a macular edema in his right eye, and both eyes presented Optic disks with 0.6/3/1/0, which is a suspicion of glaucoma. His intraocular pressures were 16 mmHg in both eyes (physiologic), with a wide (physiologic) anterior chamber. We prescribed him 1 bottle of the vitamin “A”, Timolol maleate 0.5% eye drops to lower his intraocular pressures only before sleeping, and again to shorten his caffeinated and beer drinks. Now, on the year 2008 he came again, this time complaining from a sudden haze on the center of his left eye. He is 29 year-old, 75 kilograms (165 pounds), he does regular exercises on a fitness academy, he drinks beer 3 days each week, daily caffeinated coffee 400 milliliters (13 fluid ounces) and around 2,000 milliliters of water and milk. He is still using daily the same eye drops of four years ago, at night. The exam of Amsler screen shows central vision distortion, little in his right and worse in his left eye. The intraocular pressures were 14 mmHg (physiologic) in both eyes. The direct ophthalmoscopy shows the same Optic disks, but the macula of both eyes lost their physiologic brightness at their fovea. This is the beginning of the medically denominated “Age-related macular degeneration”. But why “Age”? This man begun this damage with 25-year-old, and perhaps with only 22-year-old. His vision is not worse now, because each time he came for consultation he shortened his caffeinated and beer drinks during some years. As he relapses on the caffeine and beer drinking, the damage is slowly progressing. Its correct name should be “Caffeine, wine and beer macular degeneration”. It is evident that this damage was a direct toxic effect of caffeine and beer on the macular region of the retina, without any other cause. We also noted an increased sensibility of the stout men to any damage caused by the caffeine. The damage is variegated, but the strong men are more prone to intoxicate with caffeine. We do not know why.
Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 193 Age-related Macular Degeneration together with the Fluids Hypertension Syndromes: We had a 70 year-old patient, retired as a truck-driver. He had one grandmother Indian, one grandfather Portuguese, and the other two grandparents Brazilian White. He was 1.62 meters (5 feet and 4 inches) tall, weighting 70 kilograms (154 pounds). Since his twenties, he was a daily drinker of coffee 400 milliliters (13 fluid ounces), some bottles of beer on weekends with hangover at the next morning, and occasionally some wine. He is almost deaf. He is complaining about both eyes almost blind, intense eyes itching, eyelids edemas and excessive tears. He presented years of chronic backaches. On ophthalmological exam, we found physiologic intraocular pressures of 14 mm Hg in both eyes, eyelids edemas, physiologic deep anterior chambers, and with the best eyeglasses he presented visual acuity of 20/80 (25%) on the right eye, and only hands movements at 1 meter on the left eye: he is legally blind. On direct ophthalmoscopy he presented Optic discs with 0.5/3/1/0 and 0.7/3/1/0 right and left eyes (cup diameter/ cup depth/ lamina cribosa's pores visibility/ borders edema), which means a small glaucomatous damage, acceptable to his age. His retinas presented many drusen, fibrosis and a neovascular membrane under them, characterizing the Caffeine, Wine and Beer Macular Degeneration, actually denominated as “Age-related Macular Degeneration”. Two years ago, other doctor proposed him a Laser treatment to this, but he refused because he could not afford US$10,000.00 to pay for it. We prescribed him only to stop all caffeine, beer and wine drinks, without any medication. After one month he came back, entirely better. He had lost 2 kilograms (4 pounds) of water, without other diet. He was feeling better, without backaches, edemas or eye itching, seeing a little better, hearing better. The definitive degeneration inside his eyes were the same. With his eyeglasses, his only visual acuity was 20/60 on the right eye, and he was very happy with this. These are simultaneous Ocular Hypertension (which caused the small glaucomatous damage), Cerebrospinal Fluid Hypertension (which caused backaches, eyes´ itching, edemas, deafness, tearfulness), and exudative retinal, under-retinal and choroidal vascular leaks (which made him near-blind). All of these sicknesses were caused by more than 40 years of daily drinks of caffeine, beer and wine. But the actual medicine denominate all of these sicknesses as “idiopathic”, because the doctors do not know their causes. XIII- d - Cerebrospinal Fluid Hypertension on the 2 nd cranial nerve - 10 - Macular edema, macular cyst, macular detachment, macular hole, vitreous-retinal adhesion, epi-retinal membrane. The macular edema without inflammation is the accumulation of fluids (mainly serum and plasma) in the retina, which was excessively produced and not drained or absorbed by the venous capillaries. The retina has no lymphatics to absorb the interstitial fluids. These fluids can be from 4 origins: a- The Optic nerve's papillary edema from the Cerebrospinal fluid hypertension, spreading from the Optic Nerve´s papilla through the retina. b-The choroid's arterial capillaries leaking too much, spreading through breaks in the retinal pigment epithelium into the retina. c- The retinal arterial capillaries leaking too much. d-The anomalous vessels from neovascularization in the retina and choroid leaking too much. All these leaking fluids can be restrained by a high intraocular pressure. Whether there is a low intraocular pressure, spontaneously or caused by anti-glaucomatous eye drops, the leaking is increased. At the beginning, the excess of fluids swells the retina, producing the macular edema and pigment epithelial detachment. When the edema increases, it breaks the retinal layers, producing the macular cyst and macular detachment. When the excessive fluids increase more, the inner retinal layer breaks, draining the excessive fluids to the space between the retina and the vitreous, configuring the macular hole. The macular hole consequent to the primary traction of the retinal inner layers by the vitreous adhesion is rare. The most frequent is the the plasma escaping from the chronic macular edema and macular hole into the vitreous causing the secondary vitreous-retinal adhesion. Where these excessive fluids escaping from the macular hole are drained? The only possible drainage is the Schlemm's canal, at the Anterior chamber. To get there, the fluids must pass through and around the vitreous, generating cells proliferation, fibrosis, “idiopathic” epi-retinal membrane, vitreous strands
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- 1 patient (7.7%) presented photop
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Advanced (Cup/Disk ratio=1) Fluids
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Migraines, Variants, Signs and Symp
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Urinary albumin excretion Albumin-c
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1. BadBoy 2. Burn 3. Café 4. Chá
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53. Tylenol DC Fluids Hypertension
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