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

Fluids Hypertension Syndromes – Dr. Leonardo Izecksohn – page 61
- 18 patients (21.2%) drank beer;
- 6 patients (7.1%) drank wine
- 9 patients (10.6%) drank medications that raise the fluids pressures.
These 85 patients with inferior eyelids edemas also presented the following signs and symptoms:
- 37 (43.5%) felt frontal migraines,
- 36 (42.4%) worsened at morning.
- 35 (41.2%) had blepharitis consequent to fingers rubbing the eyes.
- 30 (35.3%) had tearfulness or rhinitis.
- 25 (29.4%) felt Ocular migraines.
- 20 (23.5%) felt temporal Migraines.
- 17 (20%) presented Photophobia.
- 14 (16.5%) presented eye redness (eye erythema);
- 10 (11.8%) presented Nausea and retching or vomits.
There were other signs and symptoms with lesser frequencies.
At the examination of these 85 patients with inferior eyelids edemas, we found:
- 36 patients (42.4%) presented mild Optic Nerve’s borders edemas, and
- 14 patients (16.5%) presented evident edemas (0.5 diopters height);
- 5 from those Optic Nerve's borders edemas, also with white sheaths around the Optic Nerve disk vessels;
- 12 patients (14.1%) were suspects of glaucoma;
- 5 patients (5.9%) presented incipient Glaucoma;
- 8 patients (9.4%) presented advanced glaucoma.
- Only 7 patients (8.2%) did not present any Ocular or Cerebrospinal Fluids Hypertension Syndromes.
We conclude that the Inferior Eyelid edema, at morning or chronic, in 91.8% of patients is a
sign from the Ocular or Cerebrospinal Fluids Hypertension Syndromes, and is an important sign
of glaucoma.
We observed patients with upper eyelids edemas, and some of them with chalazion. Both disturbances
are rare, and we did not made statistics about them.
“Blepharochalasis syndrome is separate and distinct from dermatochalasis and is a rare disorder that
typically affects the upper eyelids. It is characterized by intermittent eyelid edema, which frequently recurs.
This results in relaxation of the eyelid tissue and resultant atrophy. In approximately 50% of patients,
it is unilateral. This syndrome can be separated into early and late phases. The early phase is divided
further into hypertrophic and atrophic forms. The cause is probably a localized form of angioedema.
Sequelae include conjunctival edema and injection, entropion, ectropion, steatoblepharon,
ptosis, and excessively thin skin.” (Gilliland, G G).
When the eyes forewarn the Glaucoma caused by caffeine and excessive water: We had an
office cleaner mulatto (European, Indian and Black ancestors), 38-year-old man. He had 1.70 meters
(5 feet and 7 inches) tall, 65 Kilograms (143 pounds) of weight. For around 20 years, he used to drink
coffee 1,500 milliliter (50 fluid ounces), and water 3,000 milliliter (three quarters of a gallon) each
day, without any sign or symptom. One month ago, his inferior left eyelid began to swell. After few
days, the swell healed without medication. One week ago, his right inferior eyelid swelled. There was
no hyperemia, aches or secretions. At his ophthalmological exam, we found no need of eyeglasses. His
intraocular pressures were 22 and 20 mmHg right and left eyes, which are moderately high. His Optic
Nerves’ cups show 0.7/3/1/0 and 0.6/4/1/0 right and left eyes (Optic Nerve’s cup diameter/ cup’s depth/
lamina Cribosa`s pores visibility/ borders edema), which is the beginning of the glaucoma.
Luckily, his eyes forewarned him in time to medicate him and stop the glaucomatous evolution.