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

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<strong>Fluids</strong> <strong>Hypertension</strong> <strong>Syndromes</strong> – Dr. Leonardo Izecksohn – page 77<br />

VI- 32 – Bulbar Conjunctival Cystic Edema: From our 931 patients with some migraine, we collected<br />

two women and one man with bulbar Conjunctival Cystic Edema without any hyperemia or inflammatory<br />

sign.<br />

All three patients drank too much water daily.<br />

Two of them drank 4 liters (more than a gallon) each one. They were:<br />

- One woman with 65-year-old with mild Optic Nerve’s borders edema.<br />

- One man with 63-year-old who complained about tearful and rhinitis.<br />

- The other woman, with 36 year-old, drank 3 liters (a little less than a gallon) of water daily. She complained<br />

of itching eyes. This woman had Advanced Glaucoma in both eyes, with intraocular pressures<br />

of 22 and 23 mmHg right and left eyes.<br />

We did not find any other etiology to these three patients with Bulbar Conjunctival Cystic Edemas.<br />

These cystic edemas, between the sclera and the conjunctiva over it, can last days or months to reduce.<br />

The etiology to all three patients with bulbar Conjunctival Cystic Edemas was excessive water<br />

drinks, with an average of 3.7 liters daily, associated with eye itching and rubbing.<br />

- Curing infantile headaches and bulbar conjunctival cystic edema caused by caffeine and excessive<br />

water: We had a 5-year-old girl with around 15 Kilograms (33 pounds) of weight, who drank<br />

more than 1,000 milliliter of water and caffeinated soft drinks daily, and presented chronic diffuse<br />

headaches and itching eyes. She presented a bulbar conjunctival cystic edema at the right eye. Stopping<br />

the excessive drinks, she cured after only one week.<br />

- Curing conjunctival cystic edema with five etiologies (in bold): Another patient was a woman with<br />

51-year-old, 63 kg of weight, with five years of occasional use of beta-blocker eye drops. She was medicating<br />

for half dozen alternative headaches she presented. She worsens her aches drinking wine, excessive<br />

coffee and beer. Her intraocular pressures presented variation from 20 to 12 mmHg. Once felt<br />

urinate itching without infection, and her Urologist physician prescribed her to drink “much water<br />

daily”, and she began to drink 2,600 milliliter (more than half gallon) of water each day. After two<br />

weeks, she felt itching eyes, rubbed her eyes and presented abruptly with bulbar conjunctival cystic<br />

edema at her right eye, with mild hyperemia. This is a typical Fluid <strong>Hypertension</strong> Syndrome, with<br />

many signs and symptoms, caused by drinking wine, coffee, beer and excessive water daily, aggravated<br />

by the fingers rubbing her eyes.<br />

We conclude that bulbar Conjunctival Cystic Edema is a sign of Ocular or Cerebrospinal <strong>Fluids</strong><br />

<strong>Hypertension</strong> <strong>Syndromes</strong>, consequent to excessive water drinks and rubbing the eyes.<br />

VI- 33 – Transient Reduction of visual acuity: Some patients presented occasional small reduction of<br />

visual acuity, of about one or two lines of Snellen’s chart, or a relative central scotoma. This made imprecise<br />

the ocular refraction during the intraocular or Cerebrospinal fluid pressure rise. This transient<br />

visual acuity disturbance lasts for minutes or hours. We observed that their visual acuity normalizes<br />

after lowering the fluids’ pressures. In consequence, even when the patient is not feeling anything, we<br />

try to normalize his intraocular and Cerebrospinal fluids’ pressures before the refraction examination to<br />

prescribe his correct glasses.<br />

This is a mild Visual Darkening, or Transient Blindness, or Amaurosis Fugax, or Retinal Migraine or<br />

Transient Hemianopsia, above presented at the item IV-19.<br />

We did not made statistics about this transient reduction of visual acuity, although it is very common.

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