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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 311
“In early postoperative period after optic nerve sheath decompression, a fluid collection adjacent to
the decompression site occurs in most eyes; this finding disappears in late period. Early postoperative
magnetic resonance findings support the idea that optic nerve sheath decompression functions through
the cerebrospinal fluid filtration.” (Yazici Z, and others).
2- The obese patient gets slimmer. We observed a reduction of one up to 4 kilograms (9 pounds) of
the body weight on the initial weeks of the excessive liquids drink restriction. It is a physiologic body
weight reduction without medicine. In the migraine patient, all the body fluids are with retained water.
As these fluids are in expansible spaces, the water retention swells them without aches. With the liquids
drinks reduced to the physiologic, and without caffeine or beer, the excretory system physiologically
expels the excessive body’s water and the patient gets slimmer without any medication. This is healthy
and the patient likes it.
3- The excessively lean patient gets stronger: We observed that the excessive lean patient consequent
to the daily caffeine ingestion, after the reduction of caffeine he gains one or two kilograms (2.2 or 4.4
pounds) of body mass and becomes healthier.
- Curing Migraines and stopping the glaucomatous evolution: We had a 43-year-old social worker,
almost entirely Black, no child, 1.65 meters (5 feet and 5 inches) tall, 53 Kilograms (117 pounds) of
weight. She has myopia and complained about occasional bi-temporal headaches, few eyes disturbs
and little eyelids secretions at morning. She also presented two weeks of chronic dry cough and sneezing.
She was a drinker of water and juices around 3,000 milliliter (near one gallon) daily, and eventually
caffeinated soft drinks. On the ophthalmologic examination, we found intraocular pressures of 25
and 30 mmHg right and left eyes, which are high. Her anterior chambers were deep, physiologic. The
direct ophthalmoscopy show Optic Nerve’s disks of 0.9/1/0/0 and 0.8/1/0/0 (cup diameter/ cup depth/
lamina cribosa’s pores visibility/ borders edema), which is an uncommon aspect of the beginning
glaucomatous damage: the cup is wide and when it deepens, it occurs in all the disk on the same time.
This aspect is not considered as glaucoma yet. We prescribed her new eyeglasses, to stop all caffeinated
soft drinks, and to shorten the water and juices drinks only to the thirst needs. We also prescribed
her eye drops to lower her intraocular pressures (Timolol Maleate 0.5%), twice a day.
When she came back to examination again after three months, she was not presenting any headaches
or the other symptoms, was feeling better and her intraocular pressures show 14 and 15 mmHg right
and left eyes, which are physiologic. Her Optic Nerve’s disks show 0.8/1/0/0 and 0.7/1/0/0, which is an
unexpected reduction from the former exam. This is a plain prevention of Glaucoma together with curing
her migraines. It is good, isn't it?
4- The glaucomatous color vision deficiency, mainly for blue color, improves after the reduction of
the high intraocular pressure. On the first day of return, our patients say that “they are seeing better”.
“The intraocular pressure reduction of 20% after trabeculectomy was associated with the improvement
of the colors vision”. (Translated from Portuguese). (Magacho L, and others).
“In 56% of right eyes and 21% of left eyes of the treated glaucoma subgroup, the pattern electroretinogram
amplitude and/or phase improved...Pattern electroretinogram improvement with intraocular
pressure lowering occurred in both high- and low-tension glaucoma eyes. Eyes with severely impaired
Visual fields showed little improvement in pattern electroretinogram. Retinal ganglion cell function can
be at least partially restored after IOP reduction in glaucomatous eyes with early Visual field impairment”
(Ventura L M, and Porciatti V).
5- The visual field mean deviation index, the vision quality perception and the contrast sensitivity
improve: “On 54 glaucoma patients,... after 4-week glaucoma treatment there were statistically significant
changes in ... standard automated perimetry visual field mean deviation index, vision quality
perception, and contrast sensitivity. “ (Prata T S, and others).